YCN-20586-02198
4 vaccinations
4 coded responses
30 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 633 / MO
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 2 — Moderna
- 2021-03-27
- 2021-03-28
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-05-02
Survey response — day 35, dose 2MedDRA: Bradycardia, Hospitalisation, Migraine — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: A series of chain migraines. When investigating that, noticed bradycardia. At times, HR of upper 30s and lower 40s. Hospitalized for cardiac workup. After a couple days, HR normal. Cause of bradycardia unknown. Received newer med for migraines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-08
-
2021-06-26
Survey response — 3 months, dose 2MedDRA: Bradycardia, Hospitalisation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Bradycardia. Hospitalized for almost a week. No cause found, but resolved itself.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-25
-
2021-11-10
Dose 3 — Moderna
-
2022-01-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-27
-
2022-10-12
Dose 4 — Moderna
- 2022-10-12
-
2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Muscle or body achesAdult check-in
-
2022-10-14
Survey response — days 1–6 daily, dose 4MedDRA: Intervertebral disc protrusion — Feeling: Poor · Joint painsFree text: This is not a problem with the vaccine. I have a slipped disk in my back that decided today was its day!.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-16
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2023-01-11
-
2023-04-12
Survey response — 6 months, dose 4MedDRA: Hypergammaglobulinaemia benign monoclonal, Neuropathy peripheral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-12
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-13
-
2023-04-14
Callback requested forAfternoon
-
2023-04-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-10-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-02 | Successful 2022-01-04 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-04-12 | Successful 2023-04-14 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — day 35, dose 2
Symptoms: A series of chain migraines. When investigating that, noticed bradycardia. At times, HR of upper 30s and lower 40s. Hospitalized for cardiac workup. After a couple days, HR normal. Cause of bradycardia unknown. Received newer med for migraines.
Release 9 — 3 months, dose 2
Symptoms: Bradycardia. Hospitalized for almost a week. No cause found, but resolved itself.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): This is not a problem with the vaccine. I have a slipped disk in my back that decided today was its day!.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bradycardia | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Hypergammaglobulinaemia benign monoclonal | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Intervertebral disc protrusion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release