YX8-57264-42844
5 vaccinations
5 coded responses
42 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 902 / CA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: GoodFree text: FYI. When I got my second shot two days ago, I celebrated with too many IPAs. Perhaps the drinking and the shot made me feel a little off yesterday. Any info on the affects alcohol on the shots? I'm great today though. Thank you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-04
- 2021-09-02
-
2021-11-13
Dose 3 — Moderna
- 2022-03-06
-
2022-04-08
Dose 4 — ModernaCo-administered: Shingles
-
2022-04-24
Survey response — day 14, dose 4MedDRA: Arthritis — Feeling: GoodFree text: Arthritis in left kneeMedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-05-06
-
2022-05-13
Survey response — day 35, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Git a cold. But tested for COVID and don't have it.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Survey response — day 42, dose 4MedDRA: Cataract operation — Feeling: GoodFree text: I did have cataract surgery this week. But otherwise no problems.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-08
-
2022-10-01
Dose 5 — ModernaCo-administered: Flu
-
2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Feeling abnormal, No reaction on previous exposure to drug — Feeling: GoodFree text: My vaccination was Oct 1 and I felt bad for 2 days and even off a couple days after that. I had my flu shot at the same time. But I usually don't have reactions, so I was surprised and disappointed.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-12-31
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-04-08 | Moderna | Shingles |
| 5 | 2022-10-01 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): FYI. When I got my second shot two days ago, I celebrated with too many IPAs. Perhaps the drinking and the shot made me feel a little off yesterday. Any info on the affects alcohol on the shots? I'm great today though. Thank you.
Release 11 — day 14, dose 4
Symptoms: Arthritis in left knee
Release 11 — day 35, dose 4
Symptoms: Git a cold. But tested for COVID and don't have it.
Release 11 — day 42, dose 4
Symptoms: I did have cataract surgery this week. But otherwise no problems.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): My vaccination was Oct 1 and I felt bad for 2 days and even off a couple days after that. I had my flu shot at the same time. But I usually don't have reactions, so I was surprised and disappointed.
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 | Arthritis | · | · | ✓ |
| SD | Cataract operation | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | No reaction on previous exposure to drug | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release