647-23305-99153
5 vaccinations
9 coded responses
52 check-ins
9 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 342 / FL
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain has been only if the vaccination area is touchedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-15
- 2021-01-21
- 2021-01-28
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Bowel movement irregularity, Feeling cold, Impaired driving ability, Micturition urgency, Tremor — Feeling: Fair · Site: Pain · Chills, Joint pains, Diarrhea · Be unable to do your normal daily activitiesFree text: Bowel movements ranged from having to go immediately to having to strain. Urination ran from having to go immediately to normal. Several times I felt cold internally I had to have hot foods. I did have a Time when I had those shaking with with the coldness and so did not feel safe to drive. That did improve later on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-05
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
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
-
2021-02-09
Survey response — day 7, dose 2MedDRA: Insomnia — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 2 acetaminophen were insufficient. A cup of hot cocoa headed to that helped. Woke up early and not able to sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — day 14, dose 2MedDRA: Fatigue, Malaise — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stamina level reduced. Feeling tired. Tofay was closer to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-03-10
-
2021-03-18
Survey response — day 42, dose 2MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Less stamina. Feeling tired more often.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-08-03
-
2021-10-27
Dose 3 — ModernaCo-administered: Flu
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Balance disorder — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lack of stamina; unstable balanceMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Muscular weakness — Feeling: GoodFree text: Items slipped put og graspMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-18
- 2021-11-25
-
2021-12-04
Survey response — day 35, dose 3MedDRA: Asthenia, Balance disorder, Hypersomnia, Lethargy, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Lethargic, poor balance, little stamina, need to take naps making c. 14 hours of sleep. Most likely due to side effects of increased dosage of current medication. Thats why I waited yo reply. · Healthcare visit (other): Telephone conversationMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-08
- 2021-12-10
-
2022-01-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-01-26
-
2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-19
- 2022-04-21
- 2022-04-28
- 2022-05-06
- 2022-05-12
- 2022-05-20
-
2022-07-07
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Laboratory test abnormal, Office visit, Quarantine, Respiratory tract congestion, Somnolence — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Coughing & Congestion appeared 5/24/2022. Tested + on 5/26/2022. Quarantined on board ship 5 days. Tiredness and sleepiness have persisted on snd off dince then. · Healthcare visit (other): Decongestive cough medicine prescribed.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-08
- 2022-07-08
- 2022-07-12
- 2022-07-12
-
2022-07-13
Call successfulCompleted over the phone
-
2022-09-23
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-06
- 2022-10-15
- 2022-10-21
- 2022-10-28
- 2022-11-05
- 2022-12-26
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-10-27 | Moderna | Flu |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Pain has been only if the vaccination area is touched
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Bowel movements ranged from having to go immediately to having to strain. Urination ran from having to go immediately to normal. Several times I felt cold internally I had to have hot foods. I did have a Time when I had those shaking with with the coldness and so did not feel safe to drive. That did improve later on.
Release 3 — day 7, dose 2
Systemic reaction (other): 2 acetaminophen were insufficient. A cup of hot cocoa headed to that helped. Woke up early and not able to sleep.
Release 4 — day 14, dose 2
Symptoms: Stamina level reduced. Feeling tired. Tofay was closer to normal.
Release 5 — day 42, dose 2
Symptoms: Less stamina. Feeling tired more often.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lack of stamina; unstable balance
Systemic reaction (other): Items slipped put og grasp
Release 10 — day 35, dose 3
Symptoms: Lethargic, poor balance, little stamina, need to take naps making c. 14 hours of sleep. Most likely due to side effects of increased dosage of current medication. Thats why I waited yo reply.
Healthcare visit (other): Telephone conversation
Release 12 — 3 months, dose 4
Symptoms: Coughing & Congestion appeared 5/24/2022. Tested + on 5/26/2022. Quarantined on board ship 5 days. Tiredness and sleepiness have persisted on snd off dince then.
Healthcare visit (other): Decongestive cough medicine prescribed.
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Bowel movement irregularity | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Impaired driving ability | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Micturition urgency | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release