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YXH-20803-80075

2 vaccinations 2 coded responses 6 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
308 / GA
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-02-12
    Dose 2 — Moderna
  3. 2021-03-01
    Registered in v-safe
  4. 2021-03-01
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Fatigue, Impaired work ability — Feeling: Good
    Free text: The first shot I had not problem. The second shot I felt tired, and dizzy. The dizziness has continued since the shot, but has gotten a little better. I am retired so I don't work. But, I had a safety sensitive job, may not have been able to work.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-03-19
    Survey response — day 35, dose 2
    MedDRA: Lymphocyte count decreased, Mean platelet volume decreased, Protein total decreased, Red cell distribution width decreased — Feeling: Good
    Free text: Just had blood work at doctors office. Low total protein level in my blood. Has never been low before. Reading 6.1 on scale 6.4 -8.9. RDW-SD low 38.4 on scale 38.0-48.3Low MOV 7.2 on scale 7.42-10.65. Low LY# 1.0 on scale 1.15-3.13.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Free text

Release 4 — day 14, dose 2

2021-03-01

Symptoms: The first shot I had not problem. The second shot I felt tired, and dizzy. The dizziness has continued since the shot, but has gotten a little better. I am retired so I don't work. But, I had a safety sensitive job, may not have been able to work. cut off by CDC

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Just had blood work at doctors office. Low total protein level in my blood. Has never been low before. Reading 6.1 on scale 6.4 -8.9. RDW-SD low 38.4 on scale 38.0-48.3Low MOV 7.2 on scale 7.42-10.65. Low LY# 1.0 on scale 1.15-3.13.

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

FieldPreferred term2021-092023-042024-11
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDLymphocyte count decreased ✓ ✓ ✓
SDMean platelet volume decreased ✓ ✓ ✓
SDProtein total decreased ✓ ✓ ✓
SDRed cell distribution width decreased ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release