YFT-27525-90506
6 vaccinations
14 coded responses
77 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 156 / PA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, NauseaAdult check-in
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Erythema, Influenza like illness, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Day two I had flu like symptoms. Day 4,today, I had swelling redness and diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-21
- 2021-04-27
- 2021-05-04
- 2021-06-22
-
2021-08-15
Dose 3 — Moderna
-
2021-08-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-08-18
-
2021-08-19
Survey response — days 1–6 daily, dose 3MedDRA: Injection site urticaria, Self-medication — Feeling: GoodFree text: I have two small hives each one centimeters in diameter on my injection site forearm. Im treating it with corticosteroidsMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-20
- 2021-08-21
- 2021-08-22
- 2021-08-29
- 2021-09-05
- 2021-09-12
- 2021-09-19
- 2021-09-26
- 2021-11-14
-
2022-01-24
Dose 4 — Moderna
-
2022-01-24
Survey response — day 0, dose 4MedDRA: Malaise — Feeling: Fair · Site: Pain · Muscle or body achesFree text: It's been five hours since I got the vaccine and I just started to feel slight malaiseMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
- 2022-01-27
- 2022-01-28
- 2022-01-29
- 2022-01-30
- 2022-01-31
- 2022-02-07
- 2022-02-14
- 2022-02-21
- 2022-02-28
- 2022-03-07
- 2022-04-25
- 2022-07-25
-
2022-09-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-12
-
2022-09-16
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: I had no adverse reaction to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
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2022-12-12
Survey response — 3 months, dose 5MedDRA: Bronchitis, Cough, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bronchitis for over 3 weeks. Antibiotics did not help. Prednisone and inhaler helped but I still have a slight cough. · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2022-12-12
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2022-12-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-13
-
2023-04-20
Dose 6 — Pfizer-BioNTech
- 2023-04-20
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2023-04-21
Survey response — days 1–6 daily, dose 6MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11
- 2023-04-22
-
2023-04-23
Survey response — days 1–6 daily, dose 6MedDRA: Chest pain, Cough, Discomfort, Pre-existing disease, Smoke sensitivity — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaMedDRA releases: 2024-11
-
2023-04-24
Survey response — days 1–6 daily, dose 6MedDRA: Lower respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-25
Survey response — days 1–6 daily, dose 6MedDRA: Lower respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-26
Survey response — days 1–6 daily, dose 6MedDRA: Lower respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-27
Survey response — day 7, dose 6MedDRA: Lower respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
- 2023-05-04
-
2023-05-11
Survey response — day 21, dose 6MedDRA: Muscle spasms, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-18
- 2023-05-25
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-08-15 | Moderna | No |
| 4 | 2022-01-24 | Moderna | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | Flu |
| 6 | 2023-04-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-12 | Successful 2022-12-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Day two I had flu like symptoms. Day 4,today, I had swelling redness and diarrhea.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I have two small hives each one centimeters in diameter on my injection site forearm. Im treating it with corticosteroids
Release 11 — day 0, dose 4
Systemic reaction (other): It's been five hours since I got the vaccine and I just started to feel slight malaise
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I had no adverse reaction to the vaccine.
Release 12 — 3 months, dose 5
Symptoms: Bronchitis for over 3 weeks. Antibiotics did not help. Prednisone and inhaler helped but I still have a slight cough.
Healthcare visit (other): Office visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Injection site urticaria | ✓ | · | ✓ |
| SRO | Lower respiratory tract congestion | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
| SRO | Smoke sensitivity | · | · | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release