YVQ-30643-20366
3 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 605 / IL
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-07
- 2021-04-12
- 2021-04-21
-
2021-04-27
Dose 2 — Moderna
- 2021-04-27
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: An underlying feeling of What Id feel if I was feverish without the fever and other symptoms. TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling hot, Pain, Pyrexia — Feeling: Good · Site: PainFree text: Yesterday about 6 hours after shot until about 9 hours after shot felt very tired slightly feverish but with no fever and slightly fatigued and achey. Then it stopped. Today I feel well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
-
2021-10-24
Dose 3 — Moderna
- 2021-10-26
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-11-01
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
-
2022-01-23
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Feeling cold, Headache, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, 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: Headache, fatigue, cough, cold and sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-26
- 2022-04-24
-
2022-10-24
Survey response — 12 months, dose 3MedDRA: Aphonia, Irritability, Lower respiratory tract congestion, Lower respiratory tract infection, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Had a cold/chest cold. Was not COVID. Tested negative 2x. Was not bronchitis either. Lost voice & congestion was mainly in the lower trachea . Was not really sick just more annoyed. I am fully vaxed including the new COVID variant Moderna &fluMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-23 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): An underlying feeling of What Id feel if I was feverish without the fever and other symptoms. Tired
Systemic reaction (other): Yesterday about 6 hours after shot until about 9 hours after shot felt very tired slightly feverish but with no fever and slightly fatigued and achey. Then it stopped. Today I feel well.
Release 11 — 3 months, dose 3
Symptoms: Headache, fatigue, cough, cold and sore throat.
Release 12 — 12 months, dose 3
Symptoms: Had a cold/chest cold. Was not COVID. Tested negative 2x. Was not bronchitis either. Lost voice & congestion was mainly in the lower trachea . Was not really sick just more annoyed. I am fully vaxed including the new COVID variant Moderna &flu
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 | Aphonia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Lower respiratory tract congestion | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release