ZGL-23300-94422
4 vaccinations
5 coded responses
33 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
-
2021-02-13
Survey response — day 21, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Mild diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — day 28, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Minor diarrhea last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Dose 2 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-24
- 2021-04-03
- 2021-04-07
- 2021-05-28
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Body temperature increased, Nasopharyngitis, Quarantine, SARS-CoV-2 test positive — Feeling: GoodFree text: Mild cold on July 26, 27, 28. Temperature on July 28 = 100.2 Positive Covid test on July 29. Then quarantined for 12 days.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Bladder cancer, Bladder cancer stage II, Bladder mass, Blood urine present, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Blood in urine. Positive systoscope exam showing a mass in bladder. Stage 2 bladder cancer detected. Have completed 1 of 8 chemotherapy sessions. (All presumably unrelated to covid except my lower resistance?) · Healthcare visit (other): Doctor's visits related to newly diagnosed bladder cancer.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-28
Call successfulDoes not wish to fill out VAERS report
-
2022-04-15
Dose 3 — Moderna
-
2022-04-27
Dose 4 — Moderna
- 2022-04-28
- 2022-05-03
- 2022-05-05
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-03
- 2022-06-08
-
2022-07-27
Survey response — 3 months, dose 4MedDRA: Cholecystectomy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Bladder removal last week.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-27
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-07-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2022-04-15 | Moderna | No |
| 4 | 2022-04-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-24 | Successful 2022-02-28 |
Does not wish to fill out VAERS report |
| 2022-07-27 | Successful 2022-07-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — day 21, dose 1
Symptoms: Mild diarrhea
Release 4 — day 28, dose 1
Symptoms: Minor diarrhea last week.
Release 9 — 6 months, dose 2
Symptoms: Mild cold on July 26, 27, 28. Temperature on July 28 = 100.2 Positive Covid test on July 29. Then quarantined for 12 days.
Release 11 — 12 months, dose 2
Symptoms: Blood in urine. Positive systoscope exam showing a mass in bladder. Stage 2 bladder cancer detected. Have completed 1 of 8 chemotherapy sessions. (All presumably unrelated to covid except my lower resistance?)
Healthcare visit (other): Doctor's visits related to newly diagnosed bladder cancer.
Release 12 — 3 months, dose 4
Symptoms: Bladder removal last week.
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 | Bladder cancer | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Bladder cancer stage II | · | · | ✓ |
| SD | Bladder mass | · | · | ✓ |
| SD | Blood urine present | · | · | ✓ |
| SD | Body temperature increased | ✓ | · | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Quarantine | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release