2ZV-28091-02873
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 740 / OK
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Muscle pain over entire body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I had a mild cough. I ran a fever all day yesterday, the highest was 101.7 1 hour after taking 2 Ibuprofen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
-
2021-07-08
Survey response — 3 months, dose 2MedDRA: Arthropod bite, Cough, Office visit, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat. Cough. Fever. This occurred after a tick bite and I was treated with antibiotics. I received a Covid19 test which was negative. · Healthcare visit (other): In person primary care.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-14
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-07
-
2022-04-08
Survey response — 12 months, dose 2MedDRA: Parosmia, Taste disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sense of taste and smell is distorted. Many foods and skunks smell like rotten flesh with diesel or is plastic fuel burning. Condition seems to be very slowly improving. MRI showed no issues.MedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-11
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle pain over entire body.
Systemic reaction (other): I had a mild cough. I ran a fever all day yesterday, the highest was 101.7 1 hour after taking 2 Ibuprofen.
Release 9 — 3 months, dose 2
Symptoms: Sore throat. Cough. Fever. This occurred after a tick bite and I was treated with antibiotics. I received a Covid19 test which was negative.
Healthcare visit (other): In person primary care.
Release 11 — 12 months, dose 2
Symptoms: Sense of taste and smell is distorted. Many foods and skunks smell like rotten flesh with diesel or is plastic fuel burning. Condition seems to be very slowly improving. MRI showed no issues.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthropod bite | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release