YUE-13133-04065
5 vaccinations
4 coded responses
59 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 305 / GA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
-
2021-02-02
Survey response — day 21, dose 1MedDRA: Rash, Rash erythematous, Skin warm — Feeling: GoodFree text: Red, hot rash approximately 6 inches by 3 inches discovered around Day 14 after injection. Lasted about 5 days. On the same arm as injection. Painless, no fever, now resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Pyrexia — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fever went down to 101 FMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-10-22
Dose 3 — Moderna
- 2021-10-22
- 2021-10-23
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
-
2021-11-26
Survey response — day 35, dose 3MedDRA: Oropharyngeal pain, Productive cough, Pulmonary congestion, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever 100.4 X 36 hours, productive cough, chest/lung congestion, sore throat. Got tested @ CVS with PCR test, came back Negative for COVID. Must be flu even though I received High Dose Flu shot 6 weeks ago.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2022-01-21
-
2022-04-25
Dose 4 — Moderna
-
2022-04-25
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-18
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
-
2022-09-09
Dose 5 — Moderna
- 2022-09-25
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Free text
Release 3 — day 21, dose 1
Symptoms: Red, hot rash approximately 6 inches by 3 inches discovered around Day 14 after injection. Lasted about 5 days. On the same arm as injection. Painless, no fever, now resolved
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fever went down to 101 F
Release 10 — day 35, dose 3
Symptoms: Fever 100.4 X 36 hours, productive cough, chest/lung congestion, sore throat. Got tested @ CVS with PCR test, came back Negative for COVID. Must be flu even though I received High Dose Flu shot 6 weeks ago.
Release 11 — day 0, dose 4
Systemic reaction (other): None
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release