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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

  1. 2020-12-24
    Registered in v-safe
  2. 2020-12-24
    Dose 1 — Moderna
  3. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  5. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Joint pains
    Adult check-in
  6. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  7. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  8. 2020-12-31
    Health check-in — day 7, dose 1
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  9. 2021-01-07
    Survey response — day 14, dose 1
    MedDRA: 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 activities
    Free 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
  10. 2021-01-07
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  11. 2021-01-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-20
    Dose 2 — Moderna
  13. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-24
    Survey response — day 35, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free 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
  15. 2021-07-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-01-20
    Survey response — 12 months, dose 2
    MedDRA: Body temperature increased, Chest discomfort, Malaise, Poor peripheral circulation — Feeling: Good · Be unable to work or attend school
    Free 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 chestetc
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Moderna
22021-01-20Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-07 priority 2/3

Free text

Release 1 — day 14, dose 1

2021-01-07

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

2021-02-24

Symptoms: My bowels have been a little more sensitive to what I normally eat.

Release 10 — 12 months, dose 2

2022-01-20

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

FieldPreferred term2021-092023-042024-11
SDAdverse reaction ✓ ✓ ✓
SDBody temperature increased · · ✓
SDChest discomfort ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDMalaise · · ✓
SDMobility decreased ✓ ✓ ✓
SDPoor peripheral circulation · · ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓

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