YER-20909-23985
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 761 / TX
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Good · Abdominal painFree text: Slightly upset stomach last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Survey response — day 0, dose 2MedDRA: Pruritus — Feeling: Good · Joint painsFree text: Itching at the knuckles of my left hand, got the shot in my left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Nausea, Abdominal painFree text: Surprisingly didnt feel good from last evening through today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
-
2021-02-16
Survey response — day 7, dose 2MedDRA: Epistaxis — Feeling: Good · NauseaFree text: This box says Any other symptoms....you want to report but you cant add another symptom unless you have one of the symptoms above. So I cant add an additional thing here unless I have one other than None. So i cant tell you about Nose Bleeding unless I have Nausea or something else.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-08-10
-
2021-10-29
Dose 3 — Moderna
- 2021-11-05
- 2021-11-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly upset stomach last night
Release 3 — day 0, dose 2
Systemic reaction (other): Itching at the knuckles of my left hand, got the shot in my left arm.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Surprisingly didnt feel good from last evening through today.
Release 4 — day 7, dose 2
Systemic reaction (other): This box says Any other symptoms....you want to report but you cant add another symptom unless you have one of the symptoms above. So I cant add an additional thing here unless I have one other than None. So i cant tell you about Nose Bleeding unless I have Nausea or something else.
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 |
|---|---|---|---|---|
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release