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
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-18
- 2021-01-28
- 2021-02-06
-
2021-02-12
Dose 2 — Moderna
-
2021-04-15
Survey response — 3 months, dose 1MedDRA: Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
-
2021-04-15
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-17
Survey response — 6 months, dose 1MedDRA: Crohn's disease, Office visit — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree 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
-
2021-07-17
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
- 2021-07-27
-
2021-11-01
Dose 3 — Moderna
- 2022-01-14
- 2022-02-01
-
2022-05-02
Survey response — 6 months, dose 3MedDRA: Fungal infection, Neuropathy peripheral, Pre-existing disease — Feeling: PoorFree 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
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2022-11-02
Survey response — 12 months, dose 3MedDRA: Eczema, Fungal infection, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
-
2022-11-02
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-03
- 2022-11-03
- 2022-11-03
-
2022-11-03
Call successfulParticipant prefers to complete VAERS report online
-
2022-11-03
Call successfulParticipant prefers to complete VAERS report online
-
2022-11-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-12 | Moderna | No |
| 3 | 2021-11-01 | Moderna | No |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 7 — 3 months, dose 1
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Crohn's disease | · | · | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Fungal infection | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release