YJF-21044-96509
6 vaccinations
13 coded responses
68 check-ins
12 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 450 / OH
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-03-01
- 2021-03-08
-
2021-03-15
Dose 2 — Moderna
-
2021-03-15
Survey response — day 0, dose 2MedDRA: Disorientation — Feeling: GoodFree text: Extremely mild disoriented sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: GoodFree text: 30 hours after the injection, I had significant sinus congestion develop suddenly. I took a Mucinex, and it dissipated six hours later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-21
Survey response — day 35, dose 2MedDRA: Pre-existing disease, Sinusitis — Feeling: GoodFree text: Mild sinus infection probably from seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-06-14
Survey response — 3 months, dose 2MedDRA: Back pain, Depressed mood, Malaise, Neck pain, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had about a five day period where I felt down/under the weather including sinus congestion, and significant back and neck aches akin to a muscle strain but the pain moved to a different spot across my upper back and/or neck everyday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-13
-
2021-10-22
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Sinus congestion — Feeling: Good · Fatigue or tirednessFree text: Sinus congestion and fatigue 3 days after my boosterMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
- 2021-11-14
- 2021-11-19
-
2021-11-28
Health check-in — day 35, dose 3Feeling: FairFree text: I caught a cold. I have a runny nose.Adult check-in · check-in free text available
- 2021-12-06
- 2022-01-22
- 2022-04-26
-
2022-05-24
Dose 4 — Moderna
- 2022-05-24
-
2022-05-25
Survey response — days 1–6 daily, dose 4MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Sinus congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-05-26
Survey response — days 1–6 daily, dose 4MedDRA: Sinus congestion — Feeling: GoodFree text: Still a little sinus congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-05-28
- 2022-05-30
- 2022-06-02
- 2022-06-07
- 2022-06-14
-
2022-06-21
Survey response — day 28, dose 4MedDRA: Nasal congestion, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: FairFree text: Nasal congestion, sinus drainage and mild sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Nasopharyngitis, Paranasal sinus hypersecretion, Sinus congestion, Sinusitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: cold, cough, sinus congestion & drainage & sinus infection & fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Report sent to call center — day 35, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-29
-
2022-06-29
Call successfulNot applicable - Accidental Reporting
- 2022-07-05
-
2022-08-23
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Oropharyngeal pain, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cold, sinus infection, sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-08-23
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-24
-
2022-08-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-21
Dose 5 — Moderna
- 2022-09-21
- 2022-09-23
- 2022-09-24
- 2022-09-26
- 2022-09-27
- 2022-10-01
- 2022-10-06
- 2022-10-12
- 2022-10-19
- 2022-10-26
-
2022-11-03
Survey response — day 42, dose 5MedDRA: Paranasal sinus hypersecretion, Sinus congestion — Feeling: GoodFree text: Sinus congestion and drainageMedDRA releases: 2024-11 · check-in free text available
- 2022-12-22
-
2023-03-22
Survey response — 6 months, dose 5MedDRA: Atrial fibrillation, Blood pressure increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-22
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-23
- 2023-03-28
-
2023-05-08
Dose 6 — Moderna
- 2023-05-08
- 2023-05-09
-
2023-05-10
Survey response — days 1–6 daily, dose 6MedDRA: Sinus congestion — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11
- 2023-05-11
- 2023-05-12
- 2023-05-14
- 2023-05-17
- 2023-05-24
- 2023-06-05
- 2023-06-12
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
| 6 | 2023-05-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-28 | Successful 2022-06-29 |
Not applicable - Accidental Reporting |
| 2022-08-23 | Successful 2022-08-24 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-03-22 | Unsuccessful |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Extremely mild disoriented sensation
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): 30 hours after the injection, I had significant sinus congestion develop suddenly. I took a Mucinex, and it dissipated six hours later.
Release 7 — day 35, dose 2
Symptoms: Mild sinus infection probably from seasonal allergies
Release 9 — 3 months, dose 2
Symptoms: I had about a five day period where I felt down/under the weather including sinus congestion, and significant back and neck aches akin to a muscle strain but the pain moved to a different spot across my upper back and/or neck everyday.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sinus congestion and fatigue 3 days after my booster
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sinus congestion
Systemic reaction (other): Still a little sinus congestion
Release 12 — day 35, dose 3
Symptoms: I caught a cold. I have a runny nose.
Release 12 — day 28, dose 4
Symptoms: Nasal congestion, sinus drainage and mild sore throat
Release 12 — day 35, dose 4
Symptoms: cold, cough, sinus congestion & drainage & sinus infection & fatigue
Release 12 — 3 months, dose 4
Symptoms: Cold, sinus infection, sore throat
Release 12 — day 42, dose 5
Symptoms: Sinus congestion and drainage
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 | Atrial fibrillation | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Depressed mood | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release