YRB-36655-10960
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 761 / TX
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Pyrexia — Feeling: GoodFree text: Had fever up 1 degree last night after yesterdays report. Awakened feeling well and have continued to feel well all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-11
-
2021-02-17
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Diarrhoea — Feeling: GoodFree text: Loose bowels and some stomach discomfort / may not be tied to covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Normal temp for me is 97.4 / the increase was for only about an hour at mostMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-03
- 2021-03-12
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Abdominal distension, Body temperature decreased, Constipation — Feeling: FairFree text: Constipation, bloating, low temperature - normal 97 / yesterday it dropped to 95.5 / adjusting medicationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
-
2021-04-07
Survey response — day 42, dose 2MedDRA: Arthralgia, Hypoaesthesia, Rotator cuff syndrome — Feeling: GoodFree text: Right shoulder pain and numbing in right hand and arm / reminiscent of pain from old rotator cuff injury treated with steroid injectionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Had fever up 1 degree last night after yesterdays report. Awakened feeling well and have continued to feel well all day.
Release 4 — day 21, dose 1
Symptoms: Loose bowels and some stomach discomfort / may not be tied to covid
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Normal temp for me is 97.4 / the increase was for only about an hour at most
Release 5 — day 21, dose 2
Symptoms: Constipation, bloating, low temperature - normal 97 / yesterday it dropped to 95.5 / adjusting medications
Release 7 — day 42, dose 2
Symptoms: Right shoulder pain and numbing in right hand and arm / reminiscent of pain from old rotator cuff injury treated with steroid injections
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Body temperature decreased | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Rotator cuff syndrome | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release