ZLX-18633-44076
4 vaccinations
4 coded responses
44 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 339 / FL
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
-
2021-02-12
Survey response — day 7, dose 2MedDRA: Pyrexia, Self-medication — Feeling: Good · Site: Pain, Swelling, Itching · Be unable to do your normal daily activitiesFree text: I had a fever of 100.7 the day after the vaccination, February 5. Tylenol reduced fever. Better after 48 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Injection site discomfort, Injection site pain — Feeling: GoodFree text: On April 23rd I experienced an Uncomfortable feeling at the general location of the vaccination. I would describe it as a aching sensation. It lasted about 3-4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-06
-
2021-10-25
Dose 3 — Pfizer-BioNTech
- 2021-10-25
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-30
-
2022-05-02
Dose 4 — Pfizer-BioNTech
-
2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-08-01
-
2022-10-31
Survey response — 6 months, dose 4MedDRA: Body temperature increased, Bronchitis, COVID-19, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had COVID August 30th. Fever 100 F max. 1 week, then 1 week sinus infection, then 1 week bronchitis. Both addressed with antibiotics.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-11-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-04
Survey response — 12 months, dose 4MedDRA: Respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-25 | Pfizer-BioNTech | No |
| 4 | 2022-05-02 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-31 | Successful 2022-11-01 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): I had a fever of 100.7 the day after the vaccination, February 5. Tylenol reduced fever. Better after 48 hours.
Release 8 — 3 months, dose 2
Symptoms: On April 23rd I experienced an Uncomfortable feeling at the general location of the vaccination. I would describe it as a aching sensation. It lasted about 3-4 days.
Release 12 — 6 months, dose 4
Symptoms: I had COVID August 30th. Fever 100 F max. 1 week, then 1 week sinus infection, then 1 week bronchitis. Both addressed with antibiotics.
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 | Body temperature increased | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release