ZSF-25948-18892
5 vaccinations
6 coded responses
47 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
-
2021-02-08
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Diarrhoea — Feeling: GoodFree text: Diarrhea last night out of the blue. Rumbling stomach today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-22
-
2021-02-23
Dose 2 — Moderna
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Diarrhea · Be unable to workAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
-
2021-08-24
Survey response — 6 months, dose 2MedDRA: Back pain, Chest pain, SARS-CoV-2 test negative, Urticaria — Feeling: GoodFree text: I've been experiencing minor pain in my left upper chest and around to my left upper back. We have ruled out heart, lung and other organ issues. Best guess now is non-rash hives. Doesn't seem COVID related, but I've had one negative test.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-11
Dose 3 — Moderna
-
2021-10-26
Survey response — day 42, dose 3MedDRA: Chest pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Consistent pain in my left chest but without clear connection to heart issues. · Healthcare visit (other): Office visits with PCP and Cardiologists.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-28
-
2021-12-11
Survey response — 3 months, dose 3MedDRA: Chest pain, Coronary arterial stent insertion — Feeling: GoodFree text: Left chest pain. Treating as cardiac with stent, with limited improvement in low-level pain reduction.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-12
-
2022-04-18
Dose 4 — Moderna
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Good · Site: PainFree text: Minor sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-22
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-19
-
2022-09-19
Dose 5 — Pfizer-BioNTech
- 2022-10-02
- 2022-10-03
-
2022-10-10
Survey response — day 21, dose 5MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: FairFree text: Feels like a cold. Slight runny nose, cough and some sneezing.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-24
- 2022-10-31
- 2022-12-19
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-09-11 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-26 | Unsuccessful |
Free text
Release 3 — day 21, dose 1
Symptoms: Diarrhea last night out of the blue. Rumbling stomach today.
Release 9 — 6 months, dose 2
Symptoms: I've been experiencing minor pain in my left upper chest and around to my left upper back. We have ruled out heart, lung and other organ issues. Best guess now is non-rash hives. Doesn't seem COVID related, but I've had one negative test.
Release 10 — day 42, dose 3
Symptoms: Consistent pain in my left chest but without clear connection to heart issues.
Healthcare visit (other): Office visits with PCP and Cardiologists.
Release 10 — 3 months, dose 3
Symptoms: Left chest pain. Treating as cardiac with stent, with limited improvement in low-level pain reduction.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Minor sore throat
Release 12 — day 21, dose 5
Symptoms: Feels like a cold. Slight runny nose, cough and some sneezing.
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Coronary arterial stent insertion | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Urticaria | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release