ZDL-15408-57544
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 368 / AL
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-24
- 2021-03-02
-
2021-03-04
Dose 2 — Moderna
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-18
Survey response — day 14, dose 2MedDRA: Discomfort, Office visit, Pain, Testicular pain, Varicocele — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Dull testicular pain/discomfort, worsening over the course of 7 days, led to a physical exam and ultrasound. Diagnosed with a varicocele. Will be proceeding with further evaluation/treatment. · Healthcare visit (other): (b)(6) Medical ClinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-25
Survey response — day 21, dose 2MedDRA: Condition aggravated, Epididymitis, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Epididymitis got extreme. I was relocated to see specialists because I couldnt drive. Several medical professionals think this could be related to 2nd dose COVID vaccine because of the timing and circumstances. · Healthcare visit (other): Saw primary care and urologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-04
- 2022-03-04
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Unsuccessful | |
| 2021-03-25 | Unsuccessful |
Free text
Release 5 — day 14, dose 2
Symptoms: Dull testicular pain/discomfort, worsening over the course of 7 days, led to a physical exam and ultrasound. Diagnosed with a varicocele. Will be proceeding with further evaluation/treatment.
Healthcare visit (other): (b)(6) Medical Clinic
redacted (b)(6)
Release 6 — day 21, dose 2
Symptoms: Epididymitis got extreme. I was relocated to see specialists because I couldnt drive. Several medical professionals think this could be related to 2nd dose COVID vaccine because of the timing and circumstances.
Healthcare visit (other): Saw primary care and urologist
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Epididymitis | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Testicular pain | ✓ | ✓ | ✓ |
| SD | Varicocele | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release