YFZ-27876-57902
4 vaccinations
5 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 062 / CT
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, DiarrheaFree text: All symptoms mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Heart rate increased, Palpitations — Feeling: GoodFree text: Increased pulse rate. Normally 58 to 65. Resting rate often over 80. Feeling of a racing heart.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
-
2021-01-22
Dose 2 — Moderna
- 2021-01-23
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Good · Muscle or body achesFree text: Very mild aches. May not be vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-26
Survey response — day 35, dose 2MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Mild headache almost daily. Very mild but started after 1st shot. Recent sore throat - very mild. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — day 42, dose 2MedDRA: Headache, Oropharyngeal pain — Feeling: GoodFree text: Still having mild headache and sore throat. Headaches less frequently. Sore throat daily in morning. Only since first dose of Moderna vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-07-23
-
2021-10-30
Dose 3 — ModernaCo-administered: Flu
- 2022-01-22
-
2022-05-19
Dose 4 — Moderna
- 2022-11-17
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-22 | Moderna | |
| 3 | 2021-10-30 | Moderna | Flu |
| 4 | 2022-05-19 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): All symptoms mild.
Release 1 — day 14, dose 1
Symptoms: Increased pulse rate. Normally 58 to 65. Resting rate often over 80. Feeling of a racing heart.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Very mild aches. May not be vaccine related.
Release 4 — day 35, dose 2
Symptoms: Mild headache almost daily. Very mild but started after 1st shot. Recent sore throat - very mild. No fever.
Release 5 — day 42, dose 2
Symptoms: Still having mild headache and sore throat. Headaches less frequently. Sore throat daily in morning. Only since first dose of Moderna vaccine.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release