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YN3-20123-50812

3 vaccinations 4 coded responses 29 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
46-50
ZIP prefix
640 / MO
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Registered in v-safe
  2. 2020-12-31
    Dose 1 — Moderna
  3. 2020-12-31
    Health check-in — day 0, dose 1
    Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  7. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Site: Pain
    Free text: Bruise at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-26
    Dose 2 — Moderna
  14. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  16. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-02-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-09
    Survey response — day 14, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: For the last two days, my injection site has been noticeably sore. Very odd, as the CV19 #2 vax is the last shot I got, on 1/26/21. No range off motion issues, just markedly sore. Stretching & massaging it helps.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-27
    Survey response — 3 months, dose 2
    MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Rashes on my body. They actually started about ten days after my second dose, which was at the end of January
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-04-27
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-15
    Dose 3 — Moderna
  30. 2022-01-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-01-26
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-03-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-04-12
  34. 2022-06-15
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-12-15
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Mid July I had CoVid. My symptoms were mild, I was over it in 36 hours.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-26Moderna
32021-12-15Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-27 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Bruise at injection site

Release 3 — day 14, dose 2

2021-02-09

Symptoms: For the last two days, my injection site has been noticeably sore. Very odd, as the CV19 #2 vax is the last shot I got, on 1/26/21. No range off motion issues, just markedly sore. Stretching & massaging it helps.

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: Rashes on my body. They actually started about ten days after my second dose, which was at the end of January

Release 12 — 12 months, dose 3

2022-12-15

Symptoms: Mid July I had CoVid. My symptoms were mild, I was over it in 36 hours.

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
SDCOVID-19 · · ✓
SDInjection site pain ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓

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