ZAL-78494-90581
5 vaccinations
8 coded responses
69 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 452 / OH
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: ItchingFree text: I was able to shovel snow from the driveway and sidewalk.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Sore arm but not bad. Similar to a flu shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at injection site is minimal. When I tense my arm I feel it in my tricep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-04-05
Survey response — day 28, dose 2MedDRA: Fatigue, Headache, Rhinorrhoea — Feeling: GoodFree text: A minor headache, runny nose, and tired. Probably just seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-06-07
- 2021-09-06
-
2021-10-27
Dose 3 — Moderna
-
2021-10-27
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
-
2021-12-08
Survey response — day 42, dose 3MedDRA: Cough, Paranasal sinus hypersecretion, Pre-existing disease, Throat irritation, Upper-airway cough syndrome — Feeling: GoodFree text: A little sinus or nasal dripping in my throat and a slight tickle that sometimes becomes a little cough. The weather here is very erratic 60° one day then snow the next. These symptoms are not unusual for me.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
- 2022-04-27
-
2022-05-19
Dose 4 — Moderna
-
2022-05-19
Survey response — day 0, dose 4MedDRA: Injection site pain — Feeling: FairFree text: A little tender around the injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
-
2022-05-26
Survey response — day 7, dose 4MedDRA: Hyperhidrosis — Feeling: FairFree text: Sweaty last night.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-08-18
-
2022-09-20
Dose 5 — Moderna
-
2022-09-20
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-12-20
-
2023-03-21
Survey response — 6 months, dose 5MedDRA: Oesophageal spasm, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-21
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-22
-
2023-03-22
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-19 | Moderna | No |
| 5 | 2022-09-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-21 | Successful 2023-03-22 |
Completed over the phone |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I was able to shovel snow from the driveway and sidewalk.
Systemic reaction (other): Sore arm but not bad. Similar to a flu shot
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pain at injection site is minimal. When I tense my arm I feel it in my tricep.
Release 6 — day 28, dose 2
Symptoms: A minor headache, runny nose, and tired. Probably just seasonal allergies.
Release 10 — day 42, dose 3
Symptoms: A little sinus or nasal dripping in my throat and a slight tickle that sometimes becomes a little cough. The weather here is very erratic 60° one day then snow the next. These symptoms are not unusual for me.
Release 11 — day 0, dose 4
Systemic reaction (other): A little tender around the injection site.
Release 11 — day 7, dose 4
Systemic reaction (other): Sweaty last night.
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 | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oesophageal spasm | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release