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ZS6-10003-23318

2 vaccinations 4 coded responses 9 check-ins 4 free-text entries 3 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
784 / TX
Registered
2021-04-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-04-05
    Registered in v-safe
  3. 2021-04-05
    Survey response — day 21, dose 1
    MedDRA: Malaise, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I had a fever of 101 deg. F. The next morning. This slowly went away and I felt better. I believe the fever and not feeling so good happened the nite after the shot & next morning maybe 8-10 hrs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-07
    Dose 2 — Moderna
  5. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-23
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Carpal tunnel syndrome, Epicondylitis, Hypoaesthesia, Pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pain in elbow, my family Dr. said it was tennis elbow. Numbness in 2 fingers on same arm. Dr. said it was carpal tunnel. Then days after second shot I have been having sharp pain in the palm of the opposite hand when reaching out for something.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-23
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-07
    Survey response — 3 months, dose 2
    MedDRA: Diarrhoea, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Had diarrhea for several weeks that ended 2 weeks ago with a prescription drug . · Healthcare visit (other): Called Dr. Office & they called in a prescription for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-07
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-07-13
  15. 2021-07-16
  16. 2021-10-06
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Depression — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Depression & Lack of any energy
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-06
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2021-10-07

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-07Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-23 Unsuccessful
2021-07-07 Unsuccessful
2021-10-06 Unsuccessful

Free text

Release 6 — day 21, dose 1

2021-04-05

Symptoms: I had a fever of 101 deg. F. The next morning. This slowly went away and I felt better. I believe the fever and not feeling so good happened the nite after the shot & next morning maybe 8-10 hrs.

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Pain in elbow, my family Dr. said it was tennis elbow. Numbness in 2 fingers on same arm. Dr. said it was carpal tunnel. Then days after second shot I have been having sharp pain in the palm of the opposite hand when reaching out for something.

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Had diarrhea for several weeks that ended 2 weeks ago with a prescription drug .
Healthcare visit (other): Called Dr. Office & they called in a prescription for me.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Depression & Lack of any energy

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
HCVOMedical counselling ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia · · ✓
SDCarpal tunnel syndrome ✓ ✓ ✓
SDDepression · · ✓
SDDiarrhoea ✓ ✓ ✓
SDEpicondylitis ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓

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