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YDF-65537-09247

2 vaccinations 3 coded responses 13 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
210 / MD
Registered
2021-02-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Dose 1 — Moderna
  2. 2021-02-20
    Registered in v-safe
  3. 2021-03-04
    Survey response — day 14, dose 1
    MedDRA: Cough, Pain, Pyrexia, Respiratory tract congestion, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Mild fever ranging 100.4 -100.8 today Severe sinus congestion and cough. Mild chest congestion with very mild pain when cough Body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Survey response — day 21, dose 1
    MedDRA: Cough, Loss of personal independence in daily activities, Pain, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, caughing, mild body aches and tiredness. Sluggish but able to do most daily routines. NOTE : My partner now experiencing same symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-17
    Dose 2 — Moderna
  6. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Medical observation, Pyrexia, Sinusitis — Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: On 3/17, my primary care pyscian diagnosed severe sinus infection and prescribed an antibiotic for seven days. Still experiencing mild to moderate fever ranging from 98.7 - 100.4. BElive most symtoms are from sinus infection and not COVID vacination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-21
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-03-31
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-16
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-12-30
  18. 2022-03-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-17Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-21 Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-04

Symptoms: Mild fever ranging 100.4 -100.8 today Severe sinus congestion and cough. Mild chest congestion with very mild pain when cough Body aches

Release 5 — day 21, dose 1

2021-03-12

Symptoms: Runny nose, caughing, mild body aches and tiredness. Sluggish but able to do most daily routines. NOTE : My partner now experiencing same symptoms.

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): On 3/17, my primary care pyscian diagnosed severe sinus infection and prescribed an antibiotic for seven days. Still experiencing mild to moderate fever ranging from 98.7 - 100.4. BElive most symtoms are from sinus infection and not COVID vacination.

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SROMedical observation ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSinusitis ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release