ZGZ-17989-64540
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 802 / CO
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
-
2021-01-18
Survey response — day 7, dose 1MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body achesFree text: The muscle aches was just like a yearly flu shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Headache, Pain — Feeling: Good · Muscle or body achesFree text: Its day 2 after the second shot. The day after the shot I had a head ache, body aches and just wAnted to lay down. No fever or a appetite. Today is much better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-18
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-18
Survey response — day 35, dose 2MedDRA: Fungal skin infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have developed a body rash that has enlarged. My primary care Dr. said it is fungal. I am seeing a dermatologist this afternoon. Dont think it is related to the vaccine but thought it should be reported.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
- 2021-05-12
-
2021-08-11
Survey response — 6 months, dose 2MedDRA: Fatigue, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Mid March I developed hives all over my body. I have been treated by a dermatologist. Very little improvement. Only thing different in my life was the COVID vaccine. Diagnosed as chronic hives. Some fatigue.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-17
-
2021-08-26
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Successful | Participant prefers to complete VAERS report online |
| 2021-08-11 | Successful 2021-08-26 |
Participant prefers to complete VAERS report online |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): The muscle aches was just like a yearly flu shot.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Its day 2 after the second shot. The day after the shot I had a head ache, body aches and just wAnted to lay down. No fever or a appetite. Today is much better.
Release 5 — day 35, dose 2
Symptoms: I have developed a body rash that has enlarged. My primary care Dr. said it is fungal. I am seeing a dermatologist this afternoon. Dont think it is related to the vaccine but thought it should be reported.
Release 9 — 6 months, dose 2
Symptoms: Mid March I developed hives all over my body. I have been treated by a dermatologist. Very little improvement. Only thing different in my life was the COVID vaccine. Diagnosed as chronic hives. Some fatigue.
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 | Fatigue | ✓ | · | ✓ |
| SD | Fungal skin infection | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release