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
-
2021-01-29
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
- 2021-02-03
-
2021-02-15
Survey response — day 14, dose 1MedDRA: Chills, Fatigue, Lethargy, Pyrexia, Tachycardia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree 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 symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — day 21, dose 1MedDRA: 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 visitFree 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 nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Report sent to call center — day 21, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, DiarrheaAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Hypertension — Feeling: GoodFree text: HypertensionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-30
-
2021-08-30
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Pulse pressure increased | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Tachycardia | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release