ZBV-24626-31639
3 vaccinations
9 coded responses
28 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 773 / TX
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Self-medication — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tirednessFree text: Had chills but no fever 2 times. Took Tylenol both times and took care of symptoms in about 45 minMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-05
Survey response — day 7, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Feel tired but I had covid a few months back. And I can't say the shot caused that. I'm still trying to recoup from covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-21
-
2021-01-26
Dose 2 — Moderna
-
2021-01-26
Survey response — day 0, dose 2MedDRA: Fatigue, Somnolence — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Not really fatigue. Buy tired and sleepyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have not had any fever. But I have had hard chills. From last night till 5 am. They just started back about an hour agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: A little dizzy. But thats probably one of my post covid symptoms I continue to have with fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Feel pretty much where I was before I got my shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizzy. Was doing some minimal work and felt yucky.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-29
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2021-12-09
Dose 3 — Moderna
- 2022-01-26
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2022-06-09
Survey response — 6 months, dose 3MedDRA: Office visit, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Having PVC's. Being checked by my cardiologist · Healthcare visit (other): My cardiologistMedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-10
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2022-12-09
Survey response — 12 months, dose 3MedDRA: Dyspnoea — Feeling: GoodFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-12-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-09 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Had chills but no fever 2 times. Took Tylenol both times and took care of symptoms in about 45 min
Release 1 — day 7, dose 1
Systemic reaction (other): Feel tired but I had covid a few months back. And I can't say the shot caused that. I'm still trying to recoup from covid
Release 2 — day 0, dose 2
Systemic reaction (other): Not really fatigue. Buy tired and sleepy
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): I have not had any fever. But I have had hard chills. From last night till 5 am. They just started back about an hour ago
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): A little dizzy. But thats probably one of my post covid symptoms I continue to have with fatigue
Systemic reaction (other): Feel pretty much where I was before I got my shot
Systemic reaction (other): Dizzy. Was doing some minimal work and felt yucky.
Release 11 — 6 months, dose 3
Symptoms: Having PVC's. Being checked by my cardiologist
Healthcare visit (other): My cardiologist
Release 12 — 12 months, dose 3
Symptoms: Shortness of breath
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 | Dyspnoea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release