YHR-10115-38994
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
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2021-01-17
Dose 1 — Moderna
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Muscle spasms — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Last night, my wrist on the injection arm, it felt as if I was getting a "Charley Horse" right in the center of my wrist. It lasted only about 10 mins. My wrist is very sore today but haven't had that experience since last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-24
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2021-01-31
Survey response — day 14, dose 1MedDRA: Dizziness — Feeling: FairFree text: I start to feel lightheaded after using the restroom. Not sure if its related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — day 21, dose 1MedDRA: Depression — Feeling: FairFree text: I have felt more depressed than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — day 28, dose 1MedDRA: Dizziness, Dyspnoea — Feeling: FairFree text: I have been breathing very heavily ... Going up 1 flight of stairs gets me winded. I get lightheaded standing in one spot for more then 5 mins.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — day 35, dose 1MedDRA: Chills, Dyspnoea, Oropharyngeal pain, Pyrexia — Feeling: PoorFree text: I get severe chills after using number 2 ... I have patches of white spots on my tonsils that makes it had to swallow, breathing is very difficult, high fever most of the day everyday, mainly after using the restroom too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Dose 2 — Moderna
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2021-03-02
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-09
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: FairFree text: Just a bit more fatigued then usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-06
-
2021-08-24
Survey response — 6 months, dose 2MedDRA: Escherichia infection — Feeling: Fair · Be unable to work or attend schoolFree text: EcoliMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Last night, my wrist on the injection arm, it felt as if I was getting a "Charley Horse" right in the center of my wrist. It lasted only about 10 mins. My wrist is very sore today but haven't had that experience since last night.
Release 3 — day 14, dose 1
Symptoms: I start to feel lightheaded after using the restroom. Not sure if its related.
Release 3 — day 21, dose 1
Symptoms: I have felt more depressed than usual.
Release 4 — day 28, dose 1
Symptoms: I have been breathing very heavily ... Going up 1 flight of stairs gets me winded. I get lightheaded standing in one spot for more then 5 mins.
Release 4 — day 35, dose 1
Symptoms: I get severe chills after using number 2 ... I have patches of white spots on my tonsils that makes it had to swallow, breathing is very difficult, high fever most of the day everyday, mainly after using the restroom too.
Release 5 — day 14, dose 2
Symptoms: Just a bit more fatigued then usual
Release 9 — 6 months, dose 2
Symptoms: Ecoli
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 | Chills | ✓ | ✓ | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Escherichia infection | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release