YNE-85861-11171
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 043 / ME
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-03-28
Registered in v-safe
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Dry eye, Eye pruritus — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Last night itchy dry eyes couple hours apart. Clear today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-31
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-04-26
Dose 2 — Moderna
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-24
Survey response — day 28, dose 2MedDRA: Nephrolithiasis, Pre-existing disease, Unevaluable event, Urinary tract infection — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Just saying, have been having lot of kidney stones and recurring UTI. Been ongoing for nearly a year. Not gotten worse since shots so had not even thought to mention here. · Healthcare visit (other): Blood & urine tests. CTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-24
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
-
2021-11-16
Dose 3 — ModernaCo-administered: Flu
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot, Rash, Self-medication — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Wolf last night very hot and rash from my head to shoulders. It continued down to my belt line as time progressed. Took a Benadryl and that eased and stopped the symptom. No airflow restrictions.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
-
2022-02-15
Survey response — 3 months, dose 3MedDRA: Bladder diverticulum, Influenza like illness, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: UTI due to diverticulum of the bladder. Has caused many similar flu like symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-17
- 2022-02-22
- 2022-05-19
- 2022-11-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-11-16 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-24 | Unsuccessful | |
| 2022-02-15 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Last night itchy dry eyes couple hours apart. Clear today.
Release 8 — day 28, dose 2
Symptoms: Just saying, have been having lot of kidney stones and recurring UTI. Been ongoing for nearly a year. Not gotten worse since shots so had not even thought to mention here.
Healthcare visit (other): Blood & urine tests. CT
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Wolf last night very hot and rash from my head to shoulders. It continued down to my belt line as time progressed. Took a Benadryl and that eased and stopped the symptom. No airflow restrictions.
Release 11 — 3 months, dose 3
Symptoms: UTI due to diverticulum of the bladder. Has caused many similar flu like symptoms.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Bladder diverticulum | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release