YSS-13467-14767
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 760 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure increased, Fatigue, Heart rate increased, Pain in extremity, Palpitations — Feeling: GoodFree text: I received the vaccine at around 4 in the afternoon. I woke up that evening around 3:30 in the morning with my heart pounding in my chest. I got up and checked my blood pressure, 158/96, pulse was 121. I took Lisinipril BP med and by 9:00 am BP was 138/91, pulse was 72. At 10:00 am BP was 122/85 and pulse 64. Fatigued that day and sore arm. Next day all was good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
-
2021-02-11
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Sore arm, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat, Insomnia, Tachyphrenia — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cold sweats, mind racing, unable to sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
-
2021-02-18
Survey response — day 7, dose 2MedDRA: Chills, Dyspnoea, Hyperhidrosis, Poor quality sleep, Stress — Feeling: Good · Fever · Chills, Muscle or body achesFree text: Chills moving to sweats. Restless sleep and removing pajamas to cool off. Some shortness of breath. Texas freeze and no power for 2 days may have added some stress.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I received the vaccine at around 4 in the afternoon. I woke up that evening around 3:30 in the morning with my heart pounding in my chest. I got up and checked my blood pressure, 158/96, pulse was 121. I took Lisinipril BP med and by 9:00 am BP was 138/91, pulse was 72. At 10:00 am BP was 122/85 and pulse 64. Fatigued that day and sore arm. Next day all was good.
Release 4 — day 0, dose 2
Systemic reaction (other): Sore arm, mild
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Cold sweats, mind racing, unable to sleep
Release 4 — day 7, dose 2
Systemic reaction (other): Chills moving to sweats. Restless sleep and removing pajamas to cool off. Some shortness of breath. Texas freeze and no power for 2 days may have added some stress.
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 |
|---|---|---|---|---|
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Stress | ✓ | ✓ | ✓ |
| SRO | Tachyphrenia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release