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YQZ-80202-77913

5 vaccinations 7 coded responses 16 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
064 / CT
Registered
2021-04-16
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Moderna
  2. 2021-04-15
    Dose 2 — Moderna
  3. 2021-04-16
    Registered in v-safe
  4. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache
    Adult check-in
  5. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Headache
    Adult check-in
  6. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Headache, Abdominal pain
    Adult check-in
  7. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Abdominal pain
    Adult check-in
  8. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Abdominal pain
    Adult check-in
  9. 2021-05-29
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-10-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-10-22
    Dose 3 — Moderna
  12. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2022-01-23
    Survey response — 3 months, dose 3
    MedDRA: Erectile dysfunction, Premature ejaculation — Feeling: Good
    Free text: Erectile dysfunction quick ejaculation.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-04-23
    Dose 4 — Moderna
  15. 2022-04-24
    Survey response — 6 months, dose 3
    MedDRA: Dry eye, Eye pruritus — Feeling: Good
    Free text: Itching inside of eyes and feel dry.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-05-18
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  17. 2022-05-28
    Survey response — day 35, dose 4
    MedDRA: Back pain, Erectile dysfunction, Premature ejaculation — Feeling: Fair
    Free text: Erectile dis function ie quick ejakulation and back pain in kidney side .
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-09-16
    Dose 5 — Moderna
  19. 2022-10-22
    Survey response — 6 months, dose 4
    MedDRA: Cardiovascular disorder, Chest pain, Cough — Feeling: Fair
    Free text: Coughing and little bit chest pain feels abnormal blood flow!
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-10-22
    Survey response — day 35, dose 5
    MedDRA: Blood disorder, Chest pain, Cough — Feeling: Fair
    Free text: Coughing, little bit chest pain and feeling like low blood flow
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-10-30
    Survey response — day 42, dose 5
    MedDRA: Chest pain, Headache, Unevaluable event — Feeling: Fair
    Free text: Right side chest pain and feel headache every morning and afternoon. Bowl isn't looking normal. Feeling blood flow isn't smooth! Do you prescribe any medications ?
    MedDRA releases: 2024-11 · check-in free text available
  22. 2023-03-17
    Survey response — 6 months, dose 5
    MedDRA: Cough, Erectile dysfunction, Feeling abnormal — Feeling: Fair
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna
32021-10-22Moderna No
42022-04-23Moderna No
52022-09-16Moderna No

Free text

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: Erectile dysfunction quick ejaculation.

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: Itching inside of eyes and feel dry.

Release 11 — day 35, dose 4

2022-05-28

Symptoms: Erectile dis function ie quick ejakulation and back pain in kidney side .

Release 12 — 6 months, dose 4

2022-10-22

Symptoms: Coughing and little bit chest pain feels abnormal blood flow!

Release 12 — day 35, dose 5

2022-10-22

Symptoms: Coughing, little bit chest pain and feeling like low blood flow

Release 12 — day 42, dose 5

2022-10-30

Symptoms: Right side chest pain and feel headache every morning and afternoon. Bowl isn't looking normal. Feeling blood flow isn't smooth! Do you prescribe any medications ?

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
SDBack pain · · ✓
SDBlood disorder · · ✓
SDCardiovascular disorder · · ✓
SDChest pain · · ✓
SDCough · · ✓
SDDry eye · · ✓
SDErectile dysfunction · · ✓
SDEye pruritus · · ✓
SDFeeling abnormal · · ✓
SDHeadache · · ✓
SDPremature ejaculation · · ✓
SDUnevaluable event · · ✓

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

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