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YFS-17150-65024

4 vaccinations 12 coded responses 32 check-ins 12 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
331 / FL
Registered
2021-02-17
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Dose 2 — Moderna
  4. 2021-02-17
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Joint pains
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-03-31
    Survey response — day 42, dose 2
    MedDRA: Angina pectoris, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pain in heart & headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-18
    Survey response — 6 months, dose 2
    MedDRA: Cough, Nasopharyngitis — Feeling: Fair
    Free text: Cold & coughing
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-10-25
    Dose 3 — Moderna
  19. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: This time pain to all cover my body. Worst were Joint pains on legs & lower my back.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Migraine — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities
    Free text: Have Migraine Headache & leg Joint pain.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  22. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  23. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-22
    Survey response — day 28, dose 3
    MedDRA: Angina pectoris, Back pain, Myalgia, Pain in extremity — Feeling: Good
    Free text: Leg's muscle that above knee are hurting. Had pain heart muscle, lower back pain. Left with leg pain now. Are they moving? Period will be 3-4 weeks.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-29
    Survey response — day 35, dose 3
    MedDRA: Migraine, Neck pain, Pain in extremity — Feeling: Fair
    Free text: Neck, arm & leg are hurting & minor migraine headache are coming out.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-12-06
    Survey response — day 42, dose 3
    MedDRA: Increased upper airway secretion, Nasal congestion, Nasopharyngitis — Feeling: Fair
    Free text: I had feeling of catching cold in deep nose & throat.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-04-09
    Dose 4 — Moderna
  30. 2022-04-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-04-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-07
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-05-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-07-09
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  36. 2022-10-08
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  37. 2023-04-09
    Health check-in — 12 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-17Moderna
32021-10-25Moderna No
42022-04-09Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Dizzy

2021-02-21

Systemic reaction (other): Dizzy

2021-02-22

Systemic reaction (other): Dizzy

2021-02-23

Systemic reaction (other): Dizzy

Release 4 — day 7, dose 2

2021-02-24

Systemic reaction (other): Dizzy

Release 6 — day 42, dose 2

2021-03-31

Symptoms: Pain in heart & headaches

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Cold & coughing

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): This time pain to all cover my body. Worst were Joint pains on legs & lower my back.

2021-10-29

Systemic reaction (other): Have Migraine Headache & leg Joint pain.

Release 10 — day 28, dose 3

2021-11-22

Symptoms: Leg's muscle that above knee are hurting. Had pain heart muscle, lower back pain. Left with leg pain now. Are they moving? Period will be 3-4 weeks.

Release 10 — day 35, dose 3

2021-11-29

Symptoms: Neck, arm & leg are hurting & minor migraine headache are coming out.

Release 10 — day 42, dose 3

2021-12-06

Symptoms: I had feeling of catching cold in deep nose & throat.

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
SDAngina pectoris ✓ ✓ ✓
SDBack pain · · ✓
SDCough ✓ · ✓
SDHeadache ✓ ✓ ✓
SDIncreased upper airway secretion · · ✓
SDMigraine · · ✓
SDMyalgia · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis ✓ · ✓
SDNeck pain · · ✓
SDPain in extremity · · ✓
SROArthralgia · · ✓
SRODizziness ✓ ✓ ✓
SROMigraine · · ✓
SROPain · · ✓

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

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