YX7-38335-58879
3 vaccinations
4 coded responses
39 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 778 / TX
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-09
- 2021-02-10
- 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
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Survey response — day 35, dose 2MedDRA: Diarrhoea, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diarrhea that I think is due to antibiotic therapy about one week ago. Has restricted my daily activity somewhat, due to the need to stay near the toilet. Called our primary care physician to get a prescription for Lomotil, and awaiting results of · Healthcare visit (other): Wife called primary care physician and went to lab to get the test kit for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-11-02
Dose 3 — Moderna
- 2021-11-03
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Only very mild soreness in the area where I got the shot the day after getting the shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-02
- 2022-04-01
- 2022-04-06
-
2022-05-03
Survey response — 6 months, dose 3MedDRA: Bladder cancer — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Diagnosed with bladder cancer.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Report sent to call center — 6 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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-05-04
- 2022-05-09
-
2022-11-02
Survey response — 12 months, dose 3MedDRA: Prostatectomy, Urinary cystectomy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had surgery on 2022 September 01 to remove bladder & prostate.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-15 | Unsuccessful | |
| 2022-05-03 | Unsuccessful |
Free text
Release 7 — day 35, dose 2
Symptoms: Diarrhea that I think is due to antibiotic therapy about one week ago. Has restricted my daily activity somewhat, due to the need to stay near the toilet. Called our primary care physician to get a prescription for Lomotil, and awaiting results of cut off by CDC
Healthcare visit (other): Wife called primary care physician and went to lab to get the test kit for me.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Only very mild soreness in the area where I got the shot the day after getting the shot.
Release 11 — 6 months, dose 3
Symptoms: Diagnosed with bladder cancer.
Release 12 — 12 months, dose 3
Symptoms: Had surgery on 2022 September 01 to remove bladder & prostate.
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Bladder cancer | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Prostatectomy | · | · | ✓ |
| SD | Urinary cystectomy | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release