3DZ-60239-94224
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 230 / VA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Immediate post-injection reaction — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Face flushing for 4 hours following the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-10
Dose 2 — Moderna
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Flushing, Injection site pain, Pyrexia — Feeling: GoodFree text: I had symptoms the first 2 days after - chills, fever, soreness at injection site, face flushing, tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-03-24
Survey response — day 14, dose 2MedDRA: Muscle spasms, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Health condition, not sure how related. After first vaccine, I had three days of intense Charley horses (ongoing issue post-back surgery but hadnt had any for months before the vaccine administration). Have had daily Charley horses this week. · Healthcare visit (other): Scheduled for 4/6.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-23
- 2021-06-09
- 2021-09-08
-
2022-01-12
Call successfulDoes not wish to fill out VAERS report
- 2022-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Face flushing for 4 hours following the injection
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I had symptoms the first 2 days after - chills, fever, soreness at injection site, face flushing, tiredness
Release 6 — day 14, dose 2
Symptoms: Health condition, not sure how related. After first vaccine, I had three days of intense Charley horses (ongoing issue post-back surgery but hadnt had any for months before the vaccine administration). Have had daily Charley horses this week.
Healthcare visit (other): Scheduled for 4/6.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release