YXA-19471-28517
4 vaccinations
9 coded responses
40 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
-
2021-01-16
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain, Swelling · DiarrheaFree text: Mild soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Still have tiny bruising at the site of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-15
Dose 2 — Moderna
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Insomnia — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Also had headache yesterday & trouble sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site joint pain, Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just mild soreness and body ache in shoulder around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
-
2021-03-08
Survey response — day 21, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-17
- 2021-08-16
-
2021-12-09
Dose 3 — Pfizer-BioNTech
- 2022-02-15
- 2022-06-09
-
2022-10-27
Dose 4 — ModernaCo-administered: Flu
-
2022-10-27
Survey response — day 0, dose 4MedDRA: Injection site pain — Feeling: Fair · Fatigue or tirednessFree text: Soreness at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Chills, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-29
Survey response — days 1–6 daily, dose 4MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Sniffles and congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-01
- 2022-11-02
-
2022-11-04
Survey response — day 7, dose 4MedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: Sneezing and needing to blow my noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
-
2022-12-08
Survey response — day 42, dose 4MedDRA: Abdominal pain upper, Muscle spasms, Pain — Feeling: FairFree text: Stomach cramps or spasms on my right side. Has only occurred about once a week or so but very painful (although passes in a few minutes).MedDRA releases: 2024-11 · check-in free text available
- 2023-01-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-12-09 | Pfizer-BioNTech | No |
| 4 | 2022-10-27 | Moderna | Flu |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Mild soreness at injection site
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Still have tiny bruising at the site of injection.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Also had headache yesterday & trouble sleeping
Systemic reaction (other): Just mild soreness and body ache in shoulder around injection site.
Release 5 — day 21, dose 2
Symptoms: Diarrhea
Release 12 — day 0, dose 4
Systemic reaction (other): Soreness at injection site
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Sniffles and congestion
Release 12 — day 7, dose 4
Systemic reaction (other): Sneezing and needing to blow my nose
Release 12 — day 42, dose 4
Symptoms: Stomach cramps or spasms on my right side. Has only occurred about once a week or so but very painful (although passes in a few minutes).
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 | Abdominal pain upper | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site joint pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release