YPU-33055-61533
4 vaccinations
12 coded responses
40 check-ins
12 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 497 / MI
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
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2021-03-12
Dose 1 — Moderna
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
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2021-04-09
Dose 2 — Moderna
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2021-04-09
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: They put the shot at the very top of my shoulder it was painful still hurts today. No one has ever given me a shot there. Its completely absurd and irresponsible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Incorrect route of product administration, Injection site pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Still hurts at injection site. Was done wrong. To high on arm. Injection made 1/4 inch below shoulder not good shouldnt have been given there ever!!!!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-08
- 2021-05-14
- 2021-05-23
- 2021-07-09
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2021-10-08
Survey response — 6 months, dose 2MedDRA: Dry mouth, Dry throat — Feeling: FairFree text: Extremely dry mouth. Sometimes dry throat.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Dose 3 — ModernaCo-administered: Flu
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-18
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2021-11-25
Survey response — day 21, dose 3MedDRA: Dry mouth — Feeling: GoodFree text: Very dry mouthMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-09
- 2021-12-16
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2022-02-03
Survey response — 3 months, dose 3MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Bad cold and cough. They thought I had COVID but tested twice. No COVIDMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
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2022-05-24
Dose 4 — Moderna
- 2022-06-30
- 2022-07-05
- 2022-08-23
- 2022-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-11-04 | Moderna | Flu |
| 4 | 2022-05-24 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): None
Systemic reaction (other): None
Release 6 — day 7, dose 1
Systemic reaction (other): None
Release 7 — day 0, dose 2
Systemic reaction (other): None
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): They put the shot at the very top of my shoulder it was painful still hurts today. No one has ever given me a shot there. Its completely absurd and irresponsible.
Systemic reaction (other): Still hurts at injection site. Was done wrong. To high on arm. Injection made 1/4 inch below shoulder not good shouldnt have been given there ever!!!!!!
Systemic reaction (other): None
Systemic reaction (other): No
Release 10 — 6 months, dose 2
Symptoms: Extremely dry mouth. Sometimes dry throat.
Release 10 — day 21, dose 3
Symptoms: Very dry mouth
Release 11 — 3 months, dose 3
Symptoms: Bad cold and cough. They thought I had COVID but tested twice. No COVID
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 | Cough | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Incorrect route of product administration | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release