YQR-14552-27637
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 410 / KY
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Can tell where I go the shot, as area is tender like a small punch. No brusing, pain, or swelling though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Tension — Feeling: Good · Site: PainFree text: Less tension / tightness in the area of the shot as compared to Wed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Muscle tightness, Vaccination site pain — Feeling: GoodFree text: Slight pain / tightness in shot area from initial vacinne is gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
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2021-03-09
Survey response — day 7, dose 1MedDRA: Anxiety, Stress — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Unbelievable levels of stress anxiety... probably nothing to do with the shot. Work related stressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-01
Dose 2 — Moderna
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Sinusitis — 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 · Outpatient clinic or urgent care clinic visitFree text: Severe cough, sinus infection, and a cold that ladt over 2 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-07
- 2021-09-30
- 2022-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-01 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Can tell where I go the shot, as area is tender like a small punch. No brusing, pain, or swelling though.
Systemic reaction (other): Less tension / tightness in the area of the shot as compared to Wed.
Systemic reaction (other): Slight pain / tightness in shot area from initial vacinne is gone.
Release 5 — day 7, dose 1
Systemic reaction (other): Unbelievable levels of stress anxiety... probably nothing to do with the shot. Work related stress
Release 9 — 3 months, dose 2
Symptoms: Severe cough, sinus infection, and a cold that ladt over 2 weeks.
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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Stress | ✓ | ✓ | ✓ |
| SRO | Tension | ✓ | ✓ | ✓ |
| SRO | Vaccination site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release