Z89-42978-39005
2 vaccinations
3 coded responses
12 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 658 / MO
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
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2020-12-24
Dose 1 — Moderna
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2020-12-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
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2020-12-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
-
2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2020-12-31
-
2021-01-07
Survey response — day 14, dose 1MedDRA: Chest discomfort, Hyperhidrosis, Influenza like illness, Mobility decreased, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Had a 24 hour flu like symptoms on 1/1/2021, was bed ridden all day with mild fever, congestion, tight chest and random sweating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-16
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2021-01-20
Dose 2 — Moderna
- 2021-02-04
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2021-02-24
Survey response — day 35, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: My bowels have been a little more sensitive to what I normally eat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-21
-
2022-01-20
Survey response — 12 months, dose 2MedDRA: Body temperature increased, Chest discomfort, Malaise, Poor peripheral circulation — Feeling: Good · Be unable to work or attend schoolFree text: I got really ill feeling for 3 days after I received my COVID booster. I had Pfizer for my first two series shots a year prior and only had a Moderna booster available. Decreased circulation to extremities, 100 degree fever and tight chestetcMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-07 | priority 2/3 |
Free text
Release 1 — day 14, dose 1
Symptoms: Had a 24 hour flu like symptoms on 1/1/2021, was bed ridden all day with mild fever, congestion, tight chest and random sweating.
Release 4 — day 35, dose 2
Symptoms: My bowels have been a little more sensitive to what I normally eat.
Release 10 — 12 months, dose 2
Symptoms: I got really ill feeling for 3 days after I received my COVID booster. I had Pfizer for my first two series shots a year prior and only had a Moderna booster available. Decreased circulation to extremities, 100 degree fever and tight chestetc
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 |
|---|---|---|---|---|
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Poor peripheral circulation | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release