ZHF-90406-35942
3 vaccinations
8 coded responses
35 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tirednessFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tirednessFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Good · Fatigue or tirednessFree text: Loss of appetite but less than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-20
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · DiarrheaFree text: Things taste weirdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Pruritus — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: The bottom of my feet felt hot and itched most of the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-17
- 2021-08-16
-
2021-10-14
Dose 3 — Moderna
- 2021-10-26
- 2021-10-28
- 2021-11-04
-
2021-11-11
Survey response — day 28, dose 3MedDRA: Limb discomfort, Pruritus — Feeling: GoodFree text: The bottoms of my feet itch or are sensitive.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-25
-
2022-01-13
Survey response — 3 months, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Have had a cough for the past month the cough continues. The doctor says it's a cold but it doesn't go away.MedDRA releases: 2024-11 · check-in free text available
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2022-01-13
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-14
-
2022-04-14
Survey response — 6 months, dose 3MedDRA: Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I think I had COVID-19 because most of the people I was living with tested positive but every time I was tested, the results were negative.MedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-18
-
2022-04-18
Call successfulNot applicable - Accidental Reporting
- 2022-10-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-13 | Successful | Not applicable - Accidental Reporting |
| 2022-04-14 | Successful 2022-04-18 |
Not applicable - Accidental Reporting |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Loss of appetite but less than yesterday
Systemic reaction (other): Things taste weird
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The bottom of my feet felt hot and itched most of the night.
Release 10 — day 28, dose 3
Symptoms: The bottoms of my feet itch or are sensitive.
Release 10 — 3 months, dose 3
Symptoms: Have had a cough for the past month the cough continues. The doctor says it's a cold but it doesn't go away.
Release 11 — 6 months, dose 3
Symptoms: I think I had COVID-19 because most of the people I was living with tested positive but every time I was tested, the results were negative.
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 | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Limb discomfort | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release