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
-
2021-03-17
Registered in v-safe
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2021-03-17
Dose 1 — Moderna
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2021-03-17
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Muscle or body achesFree text: Horrible pain in upper arm that pulses started 3 hours laterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Pre-existing disease — Feeling: Fair · DiarrheaFree text: I have crohns so that diarrhea is normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
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2021-04-07
Survey response — day 21, dose 1MedDRA: Injection site abscess — Feeling: FairFree text: Small abcess formed near injection site but may be due to my crohns disease insteadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-27
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2021-05-04
Survey response — day 21, dose 2MedDRA: Blister — Feeling: FairFree text: Small blisters/sores on feet and lower legs appeared last weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — day 28, dose 2MedDRA: Blister, Rash erythematous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The blisters opened and smaller red bumps have spread. Biopsies taken by dermatologist but waiting on resultsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-20
- 2021-05-25
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2021-10-14
Survey response — 6 months, dose 2MedDRA: Cutaneous vasculitis — Feeling: FairFree 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 sureMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-11 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Horrible pain in upper arm that pulses started 3 hours later
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have crohns so that diarrhea is normal
Release 7 — day 21, dose 1
Symptoms: Small abcess formed near injection site but may be due to my crohns disease instead
Release 8 — day 21, dose 2
Symptoms: Small blisters/sores on feet and lower legs appeared last week
Release 8 — day 28, dose 2
Symptoms: The blisters opened and smaller red bumps have spread. Biopsies taken by dermatologist but waiting on results
Release 10 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Blister | ✓ | ✓ | ✓ |
| SD | Cutaneous vasculitis | · | · | ✓ |
| SD | Injection site abscess | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release