YET-14643-45179
1 vaccination
5 coded responses
9 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 761 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Oxygen consumption decreased — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Problems breathing, oxygen level of 92 several timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Cough, Oxygen saturation decreased, Respiratory tract congestion — Feeling: Good · Fever · ChillsFree text: Cough and chest congestion, asthma, low oxygen levelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
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2021-02-13
Survey response — day 14, dose 1MedDRA: Antibiotic therapy, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: I tested positive for covid, I had the antibody infusion and still trying to recoverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-20
Survey response — day 21, dose 1MedDRA: COVID-19 pneumonia, Hospitalisation — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Went to hospital for 4 days with covid Pneumonia, just released 2 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-27
Survey response — day 28, dose 1MedDRA: COVID-19 pneumonia, Hospitalisation, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: I tested positive for covid on February 6th and was admitted in the hospital February 14 with covid Pneumonia. I am currently negative but have bern told I can't get the vaccination for 90 days. I would like someone to contact me to verify this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-06
-
2021-07-31
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-13 | Successful | |
| 2021-02-20 | Successful | |
| 2021-02-27 | Successful 2021-07-31 |
Does not wish to fill out VAERS report |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Problems breathing, oxygen level of 92 several times
Systemic reaction (other): Cough and chest congestion, asthma, low oxygen levels
Release 4 — day 14, dose 1
Symptoms: I tested positive for covid, I had the antibody infusion and still trying to recover
Release 4 — day 21, dose 1
Symptoms: Went to hospital for 4 days with covid Pneumonia, just released 2 days ago.
Release 4 — day 28, dose 1
Symptoms: I tested positive for covid on February 6th and was admitted in the hospital February 14 with covid Pneumonia. I am currently negative but have bern told I can't get the vaccination for 90 days. I would like someone to contact me to verify this. cut off by CDC
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 | Antibiotic therapy | ✓ | ✓ | ✓ |
| SD | COVID-19 pneumonia | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Oxygen consumption decreased | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release