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4ZE-19725-28206

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
208 / MD
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Survey response — day 0, dose 1
    MedDRA: Erythema — Feeling: Good
    Free text: Face a little red, but no fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Good · Muscle or body aches, Diarrhea
    Free text: Loose stools the last two days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  9. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-10
    Dose 2 — Moderna
  12. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-03-31
    Survey response — day 21, dose 2
    MedDRA: Office visit, Pre-existing disease, Urinary tract infection, Urine odour abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: After my first shot, I got a urinary tract infection. First one in over 60 years. Dont know if it is a coincidence, but Im being checked for another urinary tract infection following my second shot. Very strong smelling urine. Waiting on res · Healthcare visit (other): A urine sample was left at doctors office. Awaiting results. Very strong smelling urine like after the first injection. Note: (b)(6)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-31
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-06-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-10
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Asthenia, Medical counselling, Muscular weakness, Pneumonia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Urinary, treated for pneumonia, weakened legs and strength, more joint pain than before the shot · Healthcare visit (other): Doctor did a home visit to assess how to treat
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-09-10
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-09-13
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-10Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-09

Systemic reaction (other): Face a little red, but no fever

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Loose stools the last two days

Release 6 — day 21, dose 2

2021-03-31

Symptoms: After my first shot, I got a urinary tract infection. First one in over 60 years. Dont know if it is a coincidence, but Im being checked for another urinary tract infection following my second shot. Very strong smelling urine. Waiting on res
Healthcare visit (other): A urine sample was left at doctors office. Awaiting results. Very strong smelling urine like after the first injection. Note: (b)(6)
redacted (b)(6)

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Urinary, treated for pneumonia, weakened legs and strength, more joint pain than before the shot
Healthcare visit (other): Doctor did a home visit to assess how to treat

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
HCVOMedical counselling · · ✓
HCVOOffice visit ✓ ✓ ✓
HCVOPre-existing disease ✓ ✓ ✓
HCVOUrine odour abnormal ✓ ✓ ✓
SDArthralgia · · ✓
SDAsthenia · · ✓
SDMuscular weakness · · ✓
SDPneumonia · · ✓
SDUnevaluable event · · ✓
SDUrinary tract infection ✓ ✓ ✓
SDUrine odour abnormal ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROErythema ✓ ✓ ✓

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