4U3-22800-84136
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 327 / FL
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
-
2021-01-14
Survey response — day 14, dose 1MedDRA: Fatigue, Migraine, Pyrexia — Feeling: FairFree text: Migraine headaches. Low fever. Minor fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
-
2021-01-27
Dose 2 — Moderna
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Injection site a bit tender but arm is usable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Fatigue, Rash pustular, Skin reaction, Swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a raised area on my chin about the size of a dime with a small head on it. Used 3 in 1 ointment for two days on it. At same time, felt very tired for 24 hr period. Rested - slept. Think I had a bug of some sortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
-
2021-02-24
Survey response — day 28, dose 2MedDRA: Nephrolithiasis, Pre-existing disease, Sleep disorder — Feeling: GoodFree text: Passed a kidney stone last Thursday. Dealing with pollen allergies. Can't sleep at night, up 2-3x-go pee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-10
Survey response — day 42, dose 2MedDRA: Nephrolithiasis, Renal colic — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Two kidney stones, left side 6mm, right side 10mm. Attack last Sat. Telemedicine appt Thurs, procedure to resolve next Wed. Other than that, vaccine results appear to be ok.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — 3 months, dose 2MedDRA: Nephrolithiasis, Renal artery stent placement, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lg Kidney stones that could not be passed. Resulted in 2 surgeries, 3/17 and 4/7. Also had temporary stents on both sides.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
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)
- 2021-07-29
- 2022-01-27
- 2022-04-10
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2022-04-11
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: Migraine headaches. Low fever. Minor fatigue.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site a bit tender but arm is usable.
Release 4 — day 14, dose 2
Symptoms: Had a raised area on my chin about the size of a dime with a small head on it. Used 3 in 1 ointment for two days on it. At same time, felt very tired for 24 hr period. Rested - slept. Think I had a bug of some sort
Release 4 — day 28, dose 2
Symptoms: Passed a kidney stone last Thursday. Dealing with pollen allergies. Can't sleep at night, up 2-3x-go pee.
Release 5 — day 42, dose 2
Symptoms: Two kidney stones, left side 6mm, right side 10mm. Attack last Sat. Telemedicine appt Thurs, procedure to resolve next Wed. Other than that, vaccine results appear to be ok.
Release 8 — 3 months, dose 2
Symptoms: Lg Kidney stones that could not be passed. Resulted in 2 surgeries, 3/17 and 4/7. Also had temporary stents on both sides.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash pustular | ✓ | ✓ | ✓ |
| SD | Renal artery stent placement | · | · | ✓ |
| SD | Renal colic | ✓ | ✓ | ✓ |
| SD | Skin reaction | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Surgery | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release