YDG-11135-92486
1 vaccination
8 coded responses
14 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 030 / NH
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
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2021-04-23
Dose 1 — Moderna
- 2021-04-23
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2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Body itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-29
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2021-04-30
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-07
Survey response — day 14, dose 1MedDRA: Chest discomfort, Headache, Lip pruritus, Lip swelling — Feeling: FairFree text: Random lip itching and swelling. Chest discomfort. Stabbibg headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 21, dose 1MedDRA: Headache, Hypersensitivity, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches... body aches. Increased allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 28, dose 1MedDRA: Chest pain, Head discomfort, Headache, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sharp pressure headaches. Chest pain. Leg crampsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — day 42, dose 1MedDRA: Chest pain, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still have a headache. Chest lain increasingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-23
Survey response — 3 months, dose 1MedDRA: Chest pain, Headache, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Chest pain. Headaches. Body pain all over. Sharp pains in thighs / chestMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-24
Survey response — 6 months, dose 1MedDRA: Neurological symptom, Paraesthesia — Feeling: FairFree text: Tingling in my head. Feel like a stroke or seizure is coming on.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Survey response — 12 months, dose 1MedDRA: Chest pain, Dizziness, Fatigue, Headache, Palpitations — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Constant fatigue. Increased chest pain and palpitations. Headaches. Dizziness.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
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2022-04-25
Callback requested for05:00PM ET
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2022-04-25
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-24 | Successful 2022-04-25 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Body itching
Release 8 — day 14, dose 1
Symptoms: Random lip itching and swelling. Chest discomfort. Stabbibg headaches
Release 8 — day 21, dose 1
Symptoms: Headaches... body aches. Increased allergies
Release 8 — day 28, dose 1
Symptoms: Sharp pressure headaches. Chest pain. Leg cramps
Release 8 — day 42, dose 1
Symptoms: Still have a headache. Chest lain increasing
Release 9 — 3 months, dose 1
Symptoms: Chest pain. Headaches. Body pain all over. Sharp pains in thighs / chest
Release 10 — 6 months, dose 1
Symptoms: Tingling in my head. Feel like a stroke or seizure is coming on.
Release 11 — 12 months, dose 1
Symptoms: Constant fatigue. Increased chest pain and palpitations. Headaches. Dizziness.
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Lip pruritus | ✓ | ✓ | ✓ |
| SD | Lip swelling | ✓ | ✓ | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release