ZEE-18033-51286
3 vaccinations
6 coded responses
26 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 934 / CA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
-
2021-04-30
Survey response — day 14, dose 2MedDRA: Blood glucose increased, Fatigue, Headache, Hypersomnia, Muscle spasms, Pollakiuria — Feeling: FairFree text: Elevated glucose levels; metabolism increased; headaches and cramping in my fingers; frequent urination overnight; fatigue even after sleeping 10-12 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
-
2021-05-14
Survey response — day 28, dose 2MedDRA: Back pain, Headache, Hypertension, Muscle spasms, Pollakiuria, Weight decreased — Feeling: FairFree text: High glucose levels, cramps,backache,headaches,weight loss,frequent urination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
-
2021-05-29
Survey response — day 42, dose 2MedDRA: Kidney infection — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Kidney infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-16
Survey response — 3 months, dose 2MedDRA: Immunisation reaction, Kidney infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Kidney infection from an adverse reaction to the vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-16
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-24
- 2021-10-17
-
2022-01-19
Dose 3 — Moderna
-
2022-04-18
Survey response — 12 months, dose 2MedDRA: Weight decreased — Feeling: PoorFree text: Significant weight loss of 30 plus poundsMedDRA releases: 2024-11 · check-in free text available
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2022-07-20
Survey response — 6 months, dose 3MedDRA: Bacterial infection, Fungal infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Bacterial infection in July 2022 and a Fungal infection in June 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-07-21
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2022-01-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-16 | Successful | Participant prefers to complete VAERS report online |
| 2022-07-20 | Successful 2022-07-21 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — day 14, dose 2
Symptoms: Elevated glucose levels; metabolism increased; headaches and cramping in my fingers; frequent urination overnight; fatigue even after sleeping 10-12 hours
Release 8 — day 28, dose 2
Symptoms: High glucose levels, cramps,backache,headaches,weight loss,frequent urination.
Release 8 — day 42, dose 2
Symptoms: Kidney infection
Release 9 — 3 months, dose 2
Symptoms: Kidney infection from an adverse reaction to the vaccine.
Release 11 — 12 months, dose 2
Symptoms: Significant weight loss of 30 plus pounds
Release 12 — 6 months, dose 3
Symptoms: Bacterial infection in July 2022 and a Fungal infection in June 2022
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Bacterial infection | · | · | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fungal infection | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | · | ✓ |
| SD | Kidney infection | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pollakiuria | ✓ | ✓ | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release