ZDK-14598-23806
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 023 / MA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
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2021-03-15
Survey response — day 14, dose 1MedDRA: Arthralgia, Disturbance in attention, Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Lack of concentration, sore throat, joint pains, fatigue, headache and body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 21, dose 1MedDRA: Arthralgia, Burning sensation, Diarrhoea, Disturbance in attention, Eye irritation, Fatigue, Headache, Oropharyngeal pain, Pain, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, joint pains, body aches, sore throat, lack of concentration, burning feet, diarrhea, fatigue, blurred vision and burning of the eyes. I have been taking my temperature since the pandemic and have never had a fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Dose 2 — Moderna
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-28
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2021-09-27
Survey response — 6 months, dose 2MedDRA: Haemorrhoids, Office visit, Pre-existing disease, Rash — Feeling: Poor · 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 visitFree text: I have rash which I have been treating for 5 weeks. The doctor thought it might be heat or moisture rash, then Scabies, now a fungus. All treatments are not working. I also have a major flareup of hemorrhoids which treatment is not working either.MedDRA releases: 2024-11 · check-in free text available
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2021-09-27
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-09-29
Call successfulDoes not wish to fill out VAERS report
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2022-03-27
Survey response — 12 months, dose 2MedDRA: Back pain, Medical counselling, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: In the last couple of weeks I have experienced burning back pain which I mentioned to my doctor. I am going for some scheduled tests on April 4th to try to find out what is going on. I have not been the same since being vaccinated.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-27
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-27 | Successful 2021-09-29 |
Does not wish to fill out VAERS report |
| 2022-03-27 | Successful 2022-03-28 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — day 14, dose 1
Symptoms: Lack of concentration, sore throat, joint pains, fatigue, headache and body aches.
Release 6 — day 21, dose 1
Symptoms: Headache, joint pains, body aches, sore throat, lack of concentration, burning feet, diarrhea, fatigue, blurred vision and burning of the eyes. I have been taking my temperature since the pandemic and have never had a fever.
Release 9 — 6 months, dose 2
Symptoms: I have rash which I have been treating for 5 weeks. The doctor thought it might be heat or moisture rash, then Scabies, now a fungus. All treatments are not working. I also have a major flareup of hemorrhoids which treatment is not working either.
Release 11 — 12 months, dose 2
Symptoms: In the last couple of weeks I have experienced burning back pain which I mentioned to my doctor. I am going for some scheduled tests on April 4th to try to find out what is going on. I have not been the same since being vaccinated.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Eye irritation | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Haemorrhoids | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release