3ZT-19045-23309
4 vaccinations
2 coded responses
37 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
- 2021-09-17
-
2021-11-12
Dose 3 — Moderna
- 2022-03-18
-
2022-04-21
Dose 4 — Moderna
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-13
- 2022-05-19
- 2022-05-26
- 2022-06-02
-
2022-07-22
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Fatigue, Pain, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have Covid at this point. My symptoms started July 13 with a cough, followed by runny nose, sneezing, body aches, fatigue. The worst has passed but I still have nasal drainage. My last at-home test showed positive yesterday, July 21.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-26
-
2022-07-26
Call successfulParticipant prefers to complete VAERS report online
-
2022-10-20
Survey response — 6 months, dose 4MedDRA: COVID-19, Exposure to SARS-CoV-2, Fatigue, Pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: I don't remember if I've already reported this or not but I will assume I haven't. I got COVID on July 13, 2022 after being exposed in July 11. Symptoms: fatigue, aches, running nose.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — 3 months, dose 4
Symptoms: I have Covid at this point. My symptoms started July 13 with a cough, followed by runny nose, sneezing, body aches, fatigue. The worst has passed but I still have nasal drainage. My last at-home test showed positive yesterday, July 21.
Release 12 — 6 months, dose 4
Symptoms: I don't remember if I've already reported this or not but I will assume I haven't. I got COVID on July 13, 2022 after being exposed in July 11. Symptoms: fatigue, aches, running nose.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release