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YLD-22183-41750

3 vaccinations 7 coded responses 11 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
940 / CA
Registered
2021-03-18
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-18
    Survey response — day 0, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: ILD
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-27
    Health check-in — day 7, dose 1
    Feeling: Good · None · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-10
    Survey response — day 21, dose 1
    MedDRA: Asthenia, Cough, Insomnia — Feeling: Good
    Free text: Little dry cough ,weakness and less sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-15
    Dose 2 — Moderna
  8. 2021-04-22
    Survey response — day 7, dose 2
    MedDRA: Asthenia, Injection site pruritus, Somnolence — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Next day of the second shot ,I felt like I haven't slept for a week ,drained energy and very sleepy, and itchy shot location
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-02
    Survey response — day 14, dose 2
    MedDRA: Cough, Head discomfort, Headache, Throat irritation — Feeling: Fair
    Free text: Dry cough and pressure headache with ticklish throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-25
    Survey response — day 35, dose 2
    MedDRA: Constipation, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, Constipation Headaches once in awhile
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-15
    Survey response — 3 months, dose 2
    MedDRA: Dyspnoea, Oxygen therapy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Breathing attacks No matter how much i put the oxygen concentrator ,still not enough I raise the bar until it starts peeping
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-10-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-18
    Dose 3 — Moderna
    Co-administered: Flu
  15. 2022-04-18
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Insomnia, Laziness, Myalgia, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, muscle pain, laziness, tired ,lak of sleep and wantvto sleep more
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna
32021-11-18Moderna Flu

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): ILD

Release 7 — day 21, dose 1

2021-04-10

Symptoms: Little dry cough ,weakness and less sleep

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Next day of the second shot ,I felt like I haven't slept for a week ,drained energy and very sleepy, and itchy shot location

Release 8 — day 14, dose 2

2021-05-02

Symptoms: Dry cough and pressure headache with ticklish throat

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Fatigue, Constipation Headaches once in awhile

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Breathing attacks No matter how much i put the oxygen concentrator ,still not enough I raise the bar until it starts peeping

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: Fatigue, muscle pain, laziness, tired ,lak of sleep and wantvto sleep more

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDConstipation ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDyspnoea ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHead discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDLaziness · · ✓
SDMyalgia · · ✓
SDOxygen therapy ✓ · ✓
SDSomnolence · · ✓
SDThroat irritation ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release