Z7K-50653-86471
3 vaccinations
7 coded responses
40 check-ins
7 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 840 / UT
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Registered in v-safe
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2021-04-01
Dose 1 — Moderna
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 1MedDRA: Diarrhoea, Ear discomfort — Feeling: GoodFree text: DiaheraAnd my ears aren't balanced. I live at a high altitude but ever since I got the first shot my ears haven't been completely on the same pageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
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2021-04-29
Dose 2 — Moderna
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2021-04-29
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
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2021-06-03
Survey response — day 35, dose 2MedDRA: Cough, Fatigue, Headache, Medical counselling, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Symptoms: I got a cold. Low grade fever, headaches, runny nose, cough and fatigue. · Healthcare visit (other): Covid testing siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — day 35, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
- 2021-07-29
- 2021-10-28
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2021-11-22
Dose 3 — Pfizer-BioNTech
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
- 2021-11-25
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2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-27
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2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Asthenopia — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Eye strainMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 7, dose 3MedDRA: Oropharyngeal pain — Feeling: Poor · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — day 14, dose 3MedDRA: Constipation, Decreased appetite, Diarrhoea, Fatigue, Impaired work ability, Influenza virus test negative, Loss of personal independence in daily activities, Nausea, Pyrexia — Feeling: Poor · Be unable to work or attend school, 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: Everything was worse last week. I stayed home from school and work for nearly a whole week because I was sick. Diahera, constipation, low fever, nausea, fatigue and lack of appetite. I tested negative for strep covid and influenzaMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-12-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-12-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
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2022-05-23
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, 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: I caught covid a couple weeks agoMedDRA releases: 2024-11 · check-in free text available
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2022-05-23
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-25
- 2022-06-01
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2022-11-22
Survey response — 12 months, dose 3MedDRA: Hand-foot-and-mouth disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I caught hand foot and mouth diseaseMedDRA releases: 2024-11 · check-in free text available
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2022-11-22
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-11-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-03 | Successful 2021-12-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-12-06 | Successful 2021-12-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-23 | Successful 2022-11-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-22 | Successful 2022-11-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — day 14, dose 1
Symptoms: DiaheraAnd my ears aren't balanced. I live at a high altitude but ever since I got the first shot my ears haven't been completely on the same page
Release 8 — day 35, dose 2
Symptoms: I got a cold. Low grade fever, headaches, runny nose, cough and fatigue.
Healthcare visit (other): Covid testing site
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Eye strain
Release 10 — day 7, dose 3
Systemic reaction (other): Sore throat
Release 10 — day 14, dose 3
Symptoms: Everything was worse last week. I stayed home from school and work for nearly a whole week because I was sick. Diahera, constipation, low fever, nausea, fatigue and lack of appetite. I tested negative for strep covid and influenza
Release 11 — 6 months, dose 3
Symptoms: I caught covid a couple weeks ago
Release 12 — 12 months, dose 3
Symptoms: I caught hand foot and mouth disease
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 | ✓ | ✓ | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hand-foot-and-mouth disease | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Asthenopia | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release