ZNT-21464-80633
5 vaccinations
4 coded responses
48 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 452 / OH
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-09
Survey response — day 14, dose 1MedDRA: Dermatitis atopic, Rash, Self-medication — Feeling: GoodFree text: New rash, looks like atopic dermatitis. It's mild. I never had this before. But it responds to the usual: moisturizers, mild steroid cream, etc. Am I now more sensitized or atopic? Time will tell. PS. I'm a family physician. I'm sure of Dx.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
-
2021-01-23
Dose 2 — Moderna
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-25
- 2021-01-28
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-03-01
- 2021-03-08
- 2021-04-24
-
2021-10-28
Dose 3 — Moderna
- 2021-11-07
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-05-26
Dose 4 — Moderna
-
2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-05-29
-
2022-05-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-08-25
-
2022-10-14
Dose 5 — Moderna
-
2022-10-30
Survey response — day 14, dose 5MedDRA: Diarrhoea, Pyrexia, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: The day AFTER my vaccine I experienced vomiting, diarrhea, and low grade fever to 100.5. It resolved within 24 hr. (I mention it here because VSafe did not send me any checkins at the time. )MedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
- 2022-11-11
- 2022-11-18
-
2022-11-26
Survey response — day 42, dose 5MedDRA: Respiratory symptom — Feeling: GoodFree text: URI symptoms, mildMedDRA releases: 2024-11 · check-in free text available
-
2023-01-14
Survey response — 3 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-01-14
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-01-16
Call successfulParticipant prefers to complete VAERS report online
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-23 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-26 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-14 | Successful 2023-01-16 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — day 14, dose 1
Symptoms: New rash, looks like atopic dermatitis. It's mild. I never had this before. But it responds to the usual: moisturizers, mild steroid cream, etc. Am I now more sensitized or atopic? Time will tell. PS. I'm a family physician. I'm sure of Dx.
Release 12 — day 14, dose 5
Symptoms: The day AFTER my vaccine I experienced vomiting, diarrhea, and low grade fever to 100.5. It resolved within 24 hr. (I mention it here because VSafe did not send me any checkins at the time. )
Release 12 — day 42, dose 5
Symptoms: URI symptoms, mild
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 | COVID-19 | · | · | ✓ |
| SD | Dermatitis atopic | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Specialist consultation | ○ | ○ | ○ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release