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ZMC-33720-08605

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
26-30
ZIP prefix
750 / TX
Registered
2021-03-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Registered in v-safe
  2. 2021-03-17
    Dose 1 — Moderna
  3. 2021-03-17
    Survey response — day 0, dose 1
    MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Muscle or body aches
    Free text: Horrible pain in upper arm that pulses started 3 hours later
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea, Pre-existing disease — Feeling: Fair · Diarrhea
    Free text: I have crohns so that diarrhea is normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-31
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-04-07
    Survey response — day 21, dose 1
    MedDRA: Injection site abscess — Feeling: Fair
    Free text: Small abcess formed near injection site but may be due to my crohns disease instead
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-13
    Dose 2 — Moderna
  14. 2021-04-13
    Health check-in — day 0, dose 2
    Feeling: Fair · None
    Adult check-in
  15. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · None
    Adult check-in
  17. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Diarrhea
    Adult check-in
  18. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  19. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  20. 2021-04-20
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache
    Adult check-in
  21. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-04
    Survey response — day 21, dose 2
    MedDRA: Blister — Feeling: Fair
    Free text: Small blisters/sores on feet and lower legs appeared last week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-11
    Survey response — day 28, dose 2
    MedDRA: Blister, Rash erythematous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: The blisters opened and smaller red bumps have spread. Biopsies taken by dermatologist but waiting on results
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-11
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-05-25
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: Cutaneous vasculitis — Feeling: Fair
    Free text: Leukocytoclastic vasculitis on my feet and lower legs it might be caused by my entyvio treatment but its so rare to see that they aren't sure
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-05

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-13Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-11 Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Horrible pain in upper arm that pulses started 3 hours later

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): I have crohns so that diarrhea is normal

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Small abcess formed near injection site but may be due to my crohns disease instead

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Small blisters/sores on feet and lower legs appeared last week

Release 8 — day 28, dose 2

2021-05-11

Symptoms: The blisters opened and smaller red bumps have spread. Biopsies taken by dermatologist but waiting on results

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Leukocytoclastic vasculitis on my feet and lower legs it might be caused by my entyvio treatment but its so rare to see that they aren't sure

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

FieldPreferred term2021-092023-042024-11
SDBlister ✓ ✓ ✓
SDCutaneous vasculitis · · ✓
SDInjection site abscess ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release