YXB-10551-75080
3 vaccinations
8 coded responses
38 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 601 / IL
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
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2021-04-14
Dose 2 — Moderna
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2021-04-14
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Felt like a really bad cold or light flu for 24 hrs after 2nd shot. Glad I took the day off work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Gastric disorder, Migraine, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, DiarrheaFree text: Migraine and stomach issues today. Though i do have chronic migraines so likely unrelated to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pruritus, Rash macular — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am having the red splotch reaction from the Moderna shot. Its painful and itchy. From what i read it should go away in a week and is harmless, but still surprised to have it. Feel free to call meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 7, dose 2MedDRA: Erythema, Migraine — Feeling: Good · Site: RednessFree text: Red spot has almost completely gone away and migraine is fading as well!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-27
- 2021-07-14
- 2021-10-13
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2021-10-29
Dose 3 — Moderna
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2021-10-29
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
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2021-11-05
Survey response — day 7, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-29
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Felt like a really bad cold or light flu for 24 hrs after 2nd shot. Glad I took the day off work.
Systemic reaction (other): Migraine and stomach issues today. Though i do have chronic migraines so likely unrelated to the vaccine.
Systemic reaction (other): I am having the red splotch reaction from the Moderna shot. Its painful and itchy. From what i read it should go away in a week and is harmless, but still surprised to have it. Feel free to call me
Release 7 — day 7, dose 2
Systemic reaction (other): Red spot has almost completely gone away and migraine is fading as well!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Release 10 — day 7, dose 3
Systemic reaction (other): Tinnitus
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 |
|---|---|---|---|---|
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Gastric disorder | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release