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4KV-24905-57589

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
46-50
ZIP prefix
809 / CO
Registered
2021-02-01
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-01
    Registered in v-safe
  3. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-02-15
    Survey response — day 14, dose 1
    MedDRA: Chills, Fatigue, Lethargy, Pyrexia, Tachycardia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: This morning, I was again lethargic and experienced, tachycardia followed by fever chills and extreme fatigue for 8 hours. Took day off of work due to symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-21
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Hypertension, Pulse pressure increased, Tremor — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Apparently, the tremors and fatigue I have been experiencing have resulted in me after never having any symptoms or diagnosis of hypertension. My b/p for a week has been 170/120, w/ pulse over 110. Started benicar and normal range now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-21
    Report sent to call center — day 21, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-26
    Dose 2 — Moderna
  8. 2021-02-26
    Health check-in — day 0, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  9. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea
    Adult check-in
  10. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-05-28
    Survey response — 3 months, dose 2
    MedDRA: Hypertension — Feeling: Good
    Free text: Hypertension
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-08-30
  13. 2021-08-30
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-15

Symptoms: This morning, I was again lethargic and experienced, tachycardia followed by fever chills and extreme fatigue for 8 hours. Took day off of work due to symptoms

Release 4 — day 21, dose 1

2021-02-21

Symptoms: Apparently, the tremors and fatigue I have been experiencing have resulted in me after never having any symptoms or diagnosis of hypertension. My b/p for a week has been 170/120, w/ pulse over 110. Started benicar and normal range now

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Hypertension

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

FieldPreferred term2021-092023-042024-11
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDPulse pressure increased ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDTachycardia ✓ ✓ ✓
SDTremor ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release