YUU-11630-02297
5 vaccinations
7 coded responses
49 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Mild soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: Slightly sore with pressure...less than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-17
Survey response — day 14, dose 2MedDRA: Back pain, Muscle spasms, Myalgia, Neck pain — Feeling: FairFree text: Starting 5 days ago, after jarring my neck, Ive had neck and then muscular aches and some cramping now in neck and lower back. This may or may not be related to the shot but I felt very achy for first 2-4 days after shot. This is not debilitatinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-02
- 2021-11-11
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-03-27
Dose 4 — Moderna
- 2022-04-19
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-06-28
-
2022-09-06
Dose 5 — Moderna
- 2022-09-24
- 2022-09-27
- 2022-10-04
-
2022-10-13
Survey response — day 35, dose 5MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sweet taste, resultant loss of appetite and general fatigue. These symptoms PRE-DATED my third booster (multi-variant). However, these symptoms have persisted undiminished. My Dr. is searching for the causes of these symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-18
- 2022-12-06
-
2023-03-07
Survey response — 6 months, dose 5MedDRA: Autonomic failure syndrome, Orthostatic hypotension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-07
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-03-27 | Moderna | No |
| 5 | 2022-09-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-13 | Successful 2022-10-14 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-03-07 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Mild soreness at injection site
Systemic reaction (other): Slightly sore with pressure...less than yesterday.
Release 5 — day 14, dose 2
Symptoms: Starting 5 days ago, after jarring my neck, Ive had neck and then muscular aches and some cramping now in neck and lower back. This may or may not be related to the shot but I felt very achy for first 2-4 days after shot. This is not debilitatin
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): No
Release 12 — day 35, dose 5
Symptoms: Sweet taste, resultant loss of appetite and general fatigue. These symptoms PRE-DATED my third booster (multi-variant). However, these symptoms have persisted undiminished. My Dr. is searching for the causes of these symptoms.
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 | Autonomic failure syndrome | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Orthostatic hypotension | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release