YHD-33267-89883
4 vaccinations
6 coded responses
35 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
-
2021-02-01
Survey response — day 7, dose 1MedDRA: Discomfort, Head discomfort, Musculoskeletal discomfort — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Neck discomfort on left side (shot arm) started 2nd day. It moved toward right side of neck and head and is gone after 7 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-28
Dose 2 — Moderna
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain, Pre-existing disease — Feeling: Good · Site: Pain · ChillsFree text: Chills and pain lessened after taking Aleve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
-
2021-04-04
Survey response — day 35, dose 2MedDRA: Photopsia — Feeling: GoodFree text: Temporary retinal flashes. One night this week. Disappeared next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
-
2021-05-30
Survey response — 3 months, dose 2MedDRA: Aphthous ulcer, Self-medication — Feeling: FairFree text: What seems like a canker sore inside my mouth at the hinge of my right jaw. I take Aleve and I am waiting for it to heal in maybe two weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-29
-
2021-10-28
Dose 3 — Moderna
- 2022-02-28
-
2022-05-05
Dose 4 — Moderna
- 2022-05-05
-
2022-05-06
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: GoodFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-11
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-08-04
-
2022-11-03
Survey response — 6 months, dose 4MedDRA: Chills, Immunisation reaction — Feeling: GoodFree text: Reaction to my fifth shot. Two hours of chills six hours after the shot. Then everything was fine.MedDRA releases: 2024-11 · check-in free text available
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-05 | Moderna | No |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Neck discomfort on left side (shot arm) started 2nd day. It moved toward right side of neck and head and is gone after 7 days.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Chills and pain lessened after taking Aleve.
Release 6 — day 35, dose 2
Symptoms: Temporary retinal flashes. One night this week. Disappeared next day.
Release 8 — 3 months, dose 2
Symptoms: What seems like a canker sore inside my mouth at the hinge of my right jaw. I take Aleve and I am waiting for it to heal in maybe two weeks.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Insomnia
Release 12 — 6 months, dose 4
Symptoms: Reaction to my fifth shot. Two hours of chills six hours after the shot. Then everything was fine.
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 | Aphthous ulcer | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Photopsia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release