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5Y2-52948-97202

3 vaccinations 4 coded responses 10 check-ins 4 free-text entries 3 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
770 / TX
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-12
    Dose 2 — Moderna
  8. 2021-04-15
    Survey response — 3 months, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: It appears that I may have cromes disease. The symptoms started about three weeks after the second vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-15
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-07-17
    Survey response — 6 months, dose 1
    MedDRA: Crohn's disease, Office visit — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have contracted Chrones. The systems began about a week and a half after I received my second vaccine in February. Chrohns was formally diagnosed in April. · Healthcare visit (other): I went to a GI doctor at (b)(6)
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-07-17
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-07-22
  13. 2021-07-27
  14. 2021-11-01
    Dose 3 — Moderna
  15. 2022-01-14
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in
  16. 2022-02-01
    Health check-in — 3 months, dose 3
    Feeling: Poor
    Adult check-in
  17. 2022-05-02
    Survey response — 6 months, dose 3
    MedDRA: Fungal infection, Neuropathy peripheral, Pre-existing disease — Feeling: Poor
    Free text: In addition to Crohn's which is not going into remission yet, I have fungal infection on my vocal cords and my neuropathy has gotten profoundly worse since my second vaccination.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-11-02
    Survey response — 12 months, dose 3
    MedDRA: Eczema, Fungal infection, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I now have fungal infections and eczema that have developed. · Healthcare visit (other): Ongoing care from Dermatologist.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-11-02
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-11-03
  21. 2022-11-03
  22. 2022-11-03
  23. 2022-11-03
    Call successful
    Participant prefers to complete VAERS report online
  24. 2022-11-03
    Call successful
    Participant prefers to complete VAERS report online
  25. 2022-11-03
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-12Moderna No
32021-11-01Moderna No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — 3 months, dose 1

2021-04-15

Symptoms: It appears that I may have cromes disease. The symptoms started about three weeks after the second vaccine.

Release 9 — 6 months, dose 1

2021-07-17

Symptoms: I have contracted Chrones. The systems began about a week and a half after I received my second vaccine in February. Chrohns was formally diagnosed in April.
Healthcare visit (other): I went to a GI doctor at (b)(6)
redacted (b)(6)

Release 11 — 6 months, dose 3

2022-05-02

Symptoms: In addition to Crohn's which is not going into remission yet, I have fungal infection on my vocal cords and my neuropathy has gotten profoundly worse since my second vaccination.

Release 12 — 12 months, dose 3

2022-11-02

Symptoms: I now have fungal infections and eczema that have developed.
Healthcare visit (other): Ongoing care from Dermatologist.

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
HCVOOffice visit · · ✓
SDCrohn's disease · · ✓
SDEczema · · ✓
SDFungal infection · · ✓
SDNeuropathy peripheral · · ✓
SDPre-existing disease · · ✓
SDUnevaluable event ✓ ✓ ✓

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