YHN-33097-18839
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 630 / MO
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
-
2021-04-15
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: FairFree text: I saw my primary and they had annual labs done and they found traces of blood in my urine. Not sure it is related, but that's new. Getting retested tomorrow. I've been feeling fatigue in the afternoons and today more so than previous.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate irregular, Middle insomnia — Feeling: Fair · Site: Pain · HeadacheFree text: Last night my heart rate fluctuated between 90 and 100 and kept me up for 3 hours from 12 to 3am.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
-
2021-10-28
Survey response — 6 months, dose 2MedDRA: Atypical pneumonia, SARS-CoV-2 test negative — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: This past sunday after a negative covid test I was diagnosed with atypical pneumonia. I have a follow up with my primary doctor this coming Monday.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-01
- 2021-11-05
- 2022-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-28 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: I saw my primary and they had annual labs done and they found traces of blood in my urine. Not sure it is related, but that's new. Getting retested tomorrow. I've been feeling fatigue in the afternoons and today more so than previous.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Last night my heart rate fluctuated between 90 and 100 and kept me up for 3 hours from 12 to 3am.
Release 10 — 6 months, dose 2
Symptoms: This past sunday after a negative covid test I was diagnosed with atypical pneumonia. I have a follow up with my primary doctor this coming Monday.
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 | Atypical pneumonia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release