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YUW-17667-63694

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
531 / WI
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Diarrhea
    Adult check-in
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Redness
    Free text: Feel good. Spot on my arm is a sore. The first day after the shot I felt like I had the virus again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-10
    Dose 2 — Moderna
  11. 2021-02-10
    Survey response — day 0, dose 2
    MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: The area of the shot is hot. I can feel the temperature difference with my hand. Stomach feels a little funky, the way it felt a couple of days before I had t
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  13. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Unevaluable event — Feeling: Good · Site: Pain · Headache
    Free text: First time I have felt like eating, and did, since getting the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-24
    Survey response — day 42, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: I have a slight cough. I dont believe it is from COVID-19. The weather here has been cool and damp. Other than that I feel good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-13
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Pulmonary congestion, Self-medication — Feeling: Fair
    Free text: Lung congestion and tired. Taking Mucinex to reduce the phlegm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2022-02-10
    Survey response — 12 months, dose 2
    MedDRA: Office visit, Productive cough, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Breathing and phlegm. · Healthcare visit (other): Appointment with my doctor
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-02-10
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2022-03-04

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-02-10 Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Feel good. Spot on my arm is a sore. The first day after the shot I felt like I had the virus again.

Release 4 — day 0, dose 2

2021-02-10

Systemic reaction (other): The area of the shot is hot. I can feel the temperature difference with my hand. Stomach feels a little funky, the way it felt a couple of days before I had t

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): First time I have felt like eating, and did, since getting the shot.

Release 6 — day 42, dose 2

2021-03-24

Symptoms: I have a slight cough. I dont believe it is from COVID-19. The weather here has been cool and damp. Other than that I feel good.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Lung congestion and tired. Taking Mucinex to reduce the phlegm.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Breathing and phlegm.
Healthcare visit (other): Appointment with my doctor

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
HCVOOffice visit · · ✓
SDCough ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDProductive cough · · ✓
SDPulmonary congestion ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDUnevaluable event · · ✓
SRODecreased appetite ✓ · ✓
SROInjection site warmth ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROUnevaluable event ○ ✓ ○

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