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Z8N-33292-92951

3 vaccinations 4 coded responses 25 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
41-45
ZIP prefix
208 / MD
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  9. 2021-02-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-17
    Survey response — day 14, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: small rash on fingers. could be unrelated to vaccine. they happen to me occasionally.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-03
    Dose 2 — Moderna
  13. 2021-03-03
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-19
    Survey response — day 14, dose 2
    MedDRA: Inflammation — Feeling: Good
    Free text: minor skin inflammation on fingers (may not be related)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-05
    Dose 3 — Moderna
  28. 2022-03-06
    Survey response — 12 months, dose 2
    MedDRA: Discomfort, Loss of personal independence in daily activities, Mechanical urticaria, Rash — Feeling: Poor · Be unable to work or attend school
    Free text: about 10 days after my moderna booster, I developed a systemic rash. The rash morphed into a case of dermatographic urticaria (L50.3). It causes daily discomfort and affects may day to day aspects of my life even the ability to pick up my daughter.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-06-08
    Survey response — 6 months, dose 3
    MedDRA: Urticaria — 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 visit
    Free text: Hives (aka chronic spontaneous uricaria) from the booster in December have abated but not yet fully resolved
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-06-08
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2022-06-09
  32. 2022-06-09
  33. 2022-06-09
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-03Moderna
32021-12-05Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-06-08 Successful
2022-06-09
Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 4 — day 14, dose 1

2021-02-17

Symptoms: small rash on fingers. could be unrelated to vaccine. they happen to me occasionally.

Release 5 — day 14, dose 2

2021-03-19

Symptoms: minor skin inflammation on fingers (may not be related)

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: about 10 days after my moderna booster, I developed a systemic rash. The rash morphed into a case of dermatographic urticaria (L50.3). It causes daily discomfort and affects may day to day aspects of my life even the ability to pick up my daughter. cut off by CDC

Release 11 — 6 months, dose 3

2022-06-08

Symptoms: Hives (aka chronic spontaneous uricaria) from the booster in December have abated but not yet fully resolved

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
SDDiscomfort · · ✓
SDInflammation ✓ ✓ ✓
SDLoss of personal independence in daily activities · · ✓
SDMechanical urticaria · · ✓
SDRash ✓ ✓ ✓
SDUrticaria · · ✓

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