YRY-71690-07501
4 vaccinations
9 coded responses
44 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
-
2021-03-01
Health check-in — day 0, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-09
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Feeling very good on MondayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
-
2021-10-25
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Feeling abnormal, Feeling hot — Feeling: Good · Site: Pain, Redness, ItchingFree text: Yesterday the day after shot I was tired warm general icky feeling but okay todayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction — Feeling: Good · Site: SwellingFree text: Yesterday the shot site seemed smaller than it did today ; neither day was problematic . I went about day as normal.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site irritation — Feeling: Good · Site: RednessFree text: Shot location irrational is minorMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-24
- 2021-11-29
- 2021-12-08
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Nose snifflesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Dose 4 — Moderna
-
2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Musculoskeletal stiffness, Pain — Feeling: Good · Site: PainFree text: Yesterday after getting injection I worked in yard trimming tree limbs climbing ladder and cutting up limbs as a result I do feel stiff and sore from that activity - normal for meMedDRA releases: 2024-11 · check-in free text available
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: Feeling great no soreness or stiffnessMedDRA releases: 2024-11 · check-in free text available
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
-
2022-05-14
Survey response — day 28, dose 4MedDRA: Dysphonia, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: GoodFree text: Last three days a sore throat and horseless today , today I did a self COVID test and was negative Last week we traveled to (b)(6) had negative COVID tests for travelMedDRA releases: 2024-11 · check-in free text available
- 2022-05-28
-
2022-07-20
Survey response — 3 months, dose 4MedDRA: Exposure to SARS-CoV-2, Medical counselling, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Three weeks ago I tested positive for COVID I attended a packed church service where a VBS program for children had occurred the previous week / adult teacher were reporting COVID my symptoms were minor slight sore throat and drippy nose spoke w dr · Healthcare visit (other): Spoke on phoneMedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-21
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-20 | Successful 2022-07-21 |
Completed over the phone |
Free text
Release 5 — day 7, dose 2
Systemic reaction (other): Feeling very good on Monday
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday the day after shot I was tired warm general icky feeling but okay today
Systemic reaction (other): Yesterday the shot site seemed smaller than it did today ; neither day was problematic . I went about day as normal.
Systemic reaction (other): Shot location irrational is minor
Release 11 — 3 months, dose 3
Symptoms: Nose sniffles
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday after getting injection I worked in yard trimming tree limbs climbing ladder and cutting up limbs as a result I do feel stiff and sore from that activity - normal for me
Systemic reaction (other): Feeling great no soreness or stiffness
Release 11 — day 28, dose 4
Symptoms: Last three days a sore throat and horseless today , today I did a self COVID test and was negative Last week we traveled to (b)(6) had negative COVID tests for travel
redacted (b)(6)
Release 12 — 3 months, dose 4
Symptoms: Three weeks ago I tested positive for COVID I attended a packed church service where a VBS program for children had occurred the previous week / adult teacher were reporting COVID my symptoms were minor slight sore throat and drippy nose spoke w dr cut off by CDC
Healthcare visit (other): Spoke on phone
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 | Medical counselling | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Injection site irritation | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release