ZFZ-11694-01919
4 vaccinations
2 coded responses
34 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 376 / TN
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-09
- 2021-01-16
- 2021-01-23
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
-
2021-02-22
Survey response — day 21, dose 2MedDRA: Fatigue, Pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Got a 24 hour bug on Thursday with body aches. Went for a covid test, then went to bed and slept more than my cat. Felt better but tired on Friday. Test results were available Saturday AM and were negative. Felt good Saturday and beyond.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-08
- 2021-03-15
- 2021-05-03
-
2021-08-02
Survey response — 6 months, dose 2MedDRA: Liver disorder, Lung disorder, Office visit, Renal disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: During a routine exam, small abnormalities were discovered on my liver, kidneys and in a lung. PET scan didn't indicate cancer, but further testing is scheduled. · Healthcare visit (other): In hospital testing at the VA facility.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
-
2021-11-11
Dose 3 — Moderna
- 2022-02-02
-
2022-04-18
Dose 4 — Moderna
- 2022-04-29
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-25
- 2022-05-30
- 2022-07-19
- 2022-10-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-02 | Unsuccessful |
Free text
Release 4 — day 21, dose 2
Symptoms: Got a 24 hour bug on Thursday with body aches. Went for a covid test, then went to bed and slept more than my cat. Felt better but tired on Friday. Test results were available Saturday AM and were negative. Felt good Saturday and beyond.
Release 9 — 6 months, dose 2
Symptoms: During a routine exam, small abnormalities were discovered on my liver, kidneys and in a lung. PET scan didn't indicate cancer, but further testing is scheduled.
Healthcare visit (other): In hospital testing at the VA facility.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Liver disorder | ✓ | · | ✓ |
| SD | Lung disorder | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Renal disorder | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release