YRC-85268-30091
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 488 / MI
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-20
Dose 1 — Moderna
-
2021-04-21
Registered in v-safe
-
2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · HeadacheFree text: During allergy season I skipped my allergy shot to take vaccine so that is affecting me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
-
2021-04-27
Survey response — day 7, dose 1MedDRA: Lymph node pain — Feeling: PoorFree text: After I got my allergy shot this lump in my neck just under my jaw on the left stared aching badlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 14, dose 1MedDRA: Hot flush, Office visit, Pain, Skin mass — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Don't know if it is related but I developed a lump under skin near but not on lymph nodes on neck. Comes with general aching/pain plus flashes of hit feeling with no temperature increase. · Healthcare visit (other): Appointment with General PractitionerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-11
-
2021-05-18
Dose 2 — Moderna
- 2021-06-03
- 2021-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Moderna | |
| 2 | 2021-05-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-04 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): During allergy season I skipped my allergy shot to take vaccine so that is affecting me.
Release 8 — day 7, dose 1
Systemic reaction (other): After I got my allergy shot this lump in my neck just under my jaw on the left stared aching badly
Release 8 — day 14, dose 1
Symptoms: Don't know if it is related but I developed a lump under skin near but not on lymph nodes on neck. Comes with general aching/pain plus flashes of hit feeling with no temperature increase.
Healthcare visit (other): Appointment with General Practitioner
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Skin mass | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release