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YRX-98141-99552

1 vaccination 2 coded responses 8 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
61-65
ZIP prefix
108 / NY
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Nausea, Abdominal pain
    Adult check-in
  4. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Chills, Nausea
    Adult check-in
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Defaecation urgency, Irritable bowel syndrome, Unevaluable event — Feeling: Good · Chills, Headache, Muscle or body aches
    Free text: Bowel urgency, but NOT diarrhea. Also, CHILLS are mostly at night. My strength is better today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills
    Adult check-in
  8. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · Chills
    Adult check-in
  9. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2022-01-15
    Survey response — 12 months, dose 1
    MedDRA: Dysphonia, Fatigue, Medical counselling, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: I tested positive on a rapid / home COVID-19 test (manufactured by: Quidel) it was called, "QUICKVUEAt-Home OTC COVID-19 Test". I tested positive (+) on 12/28/2021, after more than a week of congestion, raspy (mild) sore throat & continuous fatigu. · Healthcare visit (other): Telephone call to my MD. He prescribed a strong antibiotic (Zrithromicyn) 500mg/day; for 7 days.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-15
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  12. 2022-01-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-01-15 Successful
2022-01-18
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Bowel urgency, but NOT diarrhea. Also, CHILLS are mostly at night. My strength is better today.

Release 10 — 12 months, dose 1

2022-01-15

Symptoms: I tested positive on a rapid / home COVID-19 test (manufactured by: Quidel) it was called, "QUICKVUEAt-Home OTC COVID-19 Test". I tested positive (+) on 12/28/2021, after more than a week of congestion, raspy (mild) sore throat & continuous fatigu. cut off by CDC
Healthcare visit (other): Telephone call to my MD. He prescribed a strong antibiotic (Zrithromicyn) 500mg/day; for 7 days.

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
HCVOMedical counselling · · ✓
SDDysphonia · · ✓
SDFatigue · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test positive · · ✓
SROChills ✓ ✓ ✓
SRODefaecation urgency ✓ · ✓
SROIrritable bowel syndrome ○ ✓ ○
SROUnevaluable event ✓ · ✓

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