YY8-22118-08780
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5WM-16416-91176
Child or adolescent in my care · Male · 2022-04-21
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 21, dose 1MedDRA: Headache, Oropharyngeal pain, Seasonal allergy — Feeling: FairFree text: Minor sore throatHeadacheI believe both are related to seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Dose 2 — Moderna
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Heart burnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-28
- 2021-05-06
- 2021-05-11
- 2021-05-21
- 2021-05-28
- 2021-06-06
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Respiratory syncytial virus infection, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Cold like symptoms likely RSV based on my kids pediatrician as the kids most likely had RSV. It was not COVID as the kids and we (parents) got tested. Kids tested twice at first symptoms then 3 days later both negative for Covid.MedDRA releases: 2024-11 · check-in free text available
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2021-07-21
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-27
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2021-10-19
Survey response — 6 months, dose 2MedDRA: Croup infectious, Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: GoodFree text: Sore throat, fatigue my kids cause something that caused croup (per his doctor) he and I tested negative for Covid.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Dose 3 — Moderna
- 2022-04-21
- 2022-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-21 | Unsuccessful |
Free text
Release 7 — day 21, dose 1
Symptoms: Minor sore throatHeadacheI believe both are related to seasonal allergies.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Heart burn
Release 9 — 3 months, dose 2
Symptoms: Cold like symptoms likely RSV based on my kids pediatrician as the kids most likely had RSV. It was not COVID as the kids and we (parents) got tested. Kids tested twice at first symptoms then 3 days later both negative for Covid.
Release 10 — 6 months, dose 2
Symptoms: Sore throat, fatigue my kids cause something that caused croup (per his doctor) he and I tested negative for Covid.
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 | Croup infectious | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release