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
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2021-03-12
Dose 1 — Moderna
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2021-04-05
Registered in v-safe
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2021-04-05
Survey response — day 21, dose 1MedDRA: Malaise, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-04-07
Dose 2 — Moderna
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-12
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2021-04-23
Survey response — day 14, dose 2MedDRA: 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 visitFree 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
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2021-04-23
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-07
- 2021-05-12
- 2021-05-19
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2021-07-07
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree 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
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2021-07-07
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-13
- 2021-07-16
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2021-10-06
Survey response — 6 months, dose 2MedDRA: 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 visitFree text: Depression & Lack of any energyMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-23 | Unsuccessful | |
| 2021-07-07 | Unsuccessful | |
| 2021-10-06 | Unsuccessful |
Free text
Release 6 — day 21, dose 1
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Carpal tunnel syndrome | ✓ | ✓ | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Epicondylitis | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release