YX7-19065-16973
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 46-50
- ZIP prefix
- 615 / IL
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-21
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: Light headed/dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-01-24
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain — Feeling: Good · Headache, Muscle or body achesFree text: Folks, Im going to always say Headaches and Body Aches- Im old and cant remember a day when I did not feel those things.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Super dry mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Asthma, Lower respiratory tract infection, Malaise, Pre-existing disease — Feeling: Good · 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: In July I was very sick for about 2-3 weeks with a chest infection I caught from my wife. She had a bad cold - with my asthma it immediately knocked me on my back for a very long time.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2022-02-18
Survey response — 12 months, dose 2MedDRA: Cellulitis, Erythema, Nodule — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a cellulitis develop on my shin bone in December. They could not find any damage to the skin that would have allowed infection - big knot, red and nasty. finally went down to a hard quarter sized bump. No one knows why.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-18
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-22
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-19 | Successful | Does not wish to fill out VAERS report |
| 2022-02-18 | Successful 2022-02-22 |
Does not wish to fill out VAERS report |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Light headed/dizzy
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Folks, Im going to always say Headaches and Body Aches- Im old and cant remember a day when I did not feel those things.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Super dry mouth.
Release 9 — 6 months, dose 2
Symptoms: In July I was very sick for about 2-3 weeks with a chest infection I caught from my wife. She had a bad cold - with my asthma it immediately knocked me on my back for a very long time.
Release 11 — 12 months, dose 2
Symptoms: I had a cellulitis develop on my shin bone in December. They could not find any damage to the skin that would have allowed infection - big knot, red and nasty. finally went down to a hard quarter sized bump. No one knows why.
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 | Asthma | ✓ | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Lower respiratory tract infection | ✓ | · | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Nodule | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release