YXP-13280-09115
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
-
2021-01-20
Survey response — day 0, dose 1MedDRA: Photophobia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: sensitivity to lightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-22
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-29
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Moderna
-
2021-02-26
Health check-in — day 7, dose 2Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-03
-
2021-03-10
Survey response — day 21, dose 2MedDRA: Fatigue, Pain, Prostatitis, Pyrexia, Urinary tract infection — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Fatigue, body pain, fever, urinary tract infection and prostatitis began three days after receiving the second vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-03-24
Survey response — day 35, dose 2MedDRA: Malaise — Feeling: Good · Be unable to workFree text: Fuck you no matter what I tell you youre not gonna call me. I am still suffering after the second vaccine which made me severely ill but you dont give a damn which is why you never called even when we called the 800 number and reported it so fuMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — day 42, dose 2MedDRA: Anxiety, Facial pain, Fatigue, Pain, Paranoia, Personality change — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increased fatigue, tiredness, personality changes, paranoia and anxiety. Shooting pains in my face like neurologic pains. But you dont give a damnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-19
- 2021-08-18
- 2022-02-17
-
2022-03-10
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-31 | Successful 2022-03-10 |
Completed over the phone |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): sensitivity to light
Release 5 — day 21, dose 2
Symptoms: Fatigue, body pain, fever, urinary tract infection and prostatitis began three days after receiving the second vaccine
Release 6 — day 35, dose 2
Symptoms: Fuck you no matter what I tell you youre not gonna call me. I am still suffering after the second vaccine which made me severely ill but you dont give a damn which is why you never called even when we called the 800 number and reported it so fu
Release 6 — day 42, dose 2
Symptoms: Increased fatigue, tiredness, personality changes, paranoia and anxiety. Shooting pains in my face like neurologic pains. But you dont give a damn
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranoia | ✓ | ✓ | ✓ |
| SD | Personality change | ✓ | ✓ | ✓ |
| SD | Prostatitis | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release