YGQ-22287-43162
2 vaccinations
21 coded responses
25 check-ins
21 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 628 / IL
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-30
Registered in v-safe
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2021-04-30
Dose 1 — Moderna
- 2021-04-30
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2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Really tired/ bad headaches/MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Fatigue — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: I cant breathe good/ very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I just hurt all overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pre-existing disease — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I have lots wrong with me so lots of painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Most of my pain is pre-existing problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — day 7, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: My neuropathy hurts in my toes/ bottom of my feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 14, dose 1MedDRA: Back pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: My Va clinic called to tell my that I have No broken bones in my back but it hurt me so much today.?I couldnt start my weed eater for the pain I had in my back!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
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2021-05-30
Dose 2 — Moderna
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2021-05-30
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Please identify who you are when you send me a code?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Just some itching/ sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Part of these pains are normal for me and I have these pains every dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Wound complication — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: My AF ankle wounds hurt bad w/painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Abdominal painFree text: No Im just dealing with my usual painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: No site problem nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
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2021-06-13
Survey response — day 14, dose 2MedDRA: Abdominal distension, Abdominal pain upper, Eating disorder, Flatulence, Hernia pain, Self-medication — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have a very sore left side of my stomach and my hernia hurts me very much after I eat but I can only eat a very small balanced meal! Im bloated with gas every time I eat and I have to take gas pills! Im bloated most of the timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-20
Survey response — day 21, dose 2MedDRA: Abdominal pain upper, Hernia pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have a very bad pain in the left side of my stomach that seems to ease up after eating!my hernia hurts!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-27
Survey response — day 28, dose 2MedDRA: Aphonia, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I still have a cold that causes me to lose my voice! I try to talk but nothing happens! Ive had it for 3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-04
Survey response — day 35, dose 2MedDRA: Fatigue, Medical procedure, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Im really tired yet from the procedure I had on 7/1/21 but the hospital would not answer the phone on 7/2/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-11
Survey response — day 42, dose 2MedDRA: Arthralgia, Arthropathy, Back disorder, Impaired work ability, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Its been raining so my ankles hurt more+ it affects my back/my wrist & my hernia so if I get to work @ all its only for about an hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-29
Survey response — 3 months, dose 2MedDRA: Adverse reaction, Medical counselling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I felt like I might have Covid/ called the VA /I went to local pharmacies who all wanted $50.00 for it! I told them I was a Veteran but it didnt help at all or if I was a Senior so I just waiting it out! · Healthcare visit (other): Just PharmicistMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-11-28
Survey response — 6 months, dose 2MedDRA: Arthralgia, Back pain, Gait disturbance, Hernia pain, Limb injury, Loss of personal independence in daily activities, Self-medication, Swelling — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: The wounds on my ankles hurt so bad that I have to take Morphine and lie down with my feet elevated almost all day/ my back hurts so bad also that I can't hardly walk & my hernia hurts real bad and swells out and hurts!MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
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2022-05-31
Survey response — 12 months, dose 2MedDRA: Chest pain, Nasopharyngitis, Productive cough, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I seem to still have a very bad cold with soreness in my right chest area! Im coughing up yellow flimMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-05-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-29 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Really tired/ bad headaches/
Systemic reaction (other): I cant breathe good/ very tired
Systemic reaction (other): I just hurt all over
Systemic reaction (other): I have lots wrong with me so lots of pain
Systemic reaction (other): Most of my pain is pre-existing problems
Release 8 — day 7, dose 1
Systemic reaction (other): My neuropathy hurts in my toes/ bottom of my feet
Release 8 — day 14, dose 1
Symptoms: My Va clinic called to tell my that I have No broken bones in my back but it hurt me so much today.?I couldnt start my weed eater for the pain I had in my back!!!
Release 8 — day 0, dose 2
Systemic reaction (other): Please identify who you are when you send me a code?
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Just some itching/ soreness
Systemic reaction (other): Part of these pains are normal for me and I have these pains every day
Systemic reaction (other): My AF ankle wounds hurt bad w/pain
Systemic reaction (other): No Im just dealing with my usual pains
Systemic reaction (other): No site problem now
Release 9 — day 14, dose 2
Symptoms: I have a very sore left side of my stomach and my hernia hurts me very much after I eat but I can only eat a very small balanced meal! Im bloated with gas every time I eat and I have to take gas pills! Im bloated most of the time
Release 9 — day 21, dose 2
Symptoms: I have a very bad pain in the left side of my stomach that seems to ease up after eating!my hernia hurts!
Release 9 — day 28, dose 2
Symptoms: I still have a cold that causes me to lose my voice! I try to talk but nothing happens! Ive had it for 3 days
Release 9 — day 35, dose 2
Symptoms: Im really tired yet from the procedure I had on 7/1/21 but the hospital would not answer the phone on 7/2/2021
Release 9 — day 42, dose 2
Symptoms: Its been raining so my ankles hurt more+ it affects my back/my wrist & my hernia so if I get to work @ all its only for about an hour
Release 9 — 3 months, dose 2
Symptoms: I felt like I might have Covid/ called the VA /I went to local pharmacies who all wanted $50.00 for it! I told them I was a Veteran but it didnt help at all or if I was a Senior so I just waiting it out!
Healthcare visit (other): Just Pharmicist
Release 10 — 6 months, dose 2
Symptoms: The wounds on my ankles hurt so bad that I have to take Morphine and lie down with my feet elevated almost all day/ my back hurts so bad also that I can't hardly walk & my hernia hurts real bad and swells out and hurts!
Release 11 — 12 months, dose 2
Symptoms: I seem to still have a very bad cold with soreness in my right chest area! Im coughing up yellow flim
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 | Medical counselling | ✓ | · | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | · | ✓ |
| SD | Aphonia | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Back disorder | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Eating disorder | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Hernia pain | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Medical counselling | ✓ | · | ✓ |
| SD | Medical procedure | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ○ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Wound complication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release