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ZUR-21365-25390

3 vaccinations 4 coded responses 35 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
61-65
ZIP prefix
378 / TN
Registered
2020-12-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-23
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-06
    Survey response — day 14, dose 1
    MedDRA: Nasal congestion, Pre-existing disease — Feeling: Good
    Free text: I have a very stuffed up nose, but I do not believe this to be vaccine related. Iris what generally happens when I do not get enough sleep. It started 1-1-2021.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-13
    Survey response — day 21, dose 1
    MedDRA: Nasal congestion — Feeling: Fair
    Free text: Still have a completely stuffed up nose. Has been going on for about 10-14 days with no relief. I reported this before. No other symptoms. Still don't know if it could be from the vaccine or not. Rather unusual for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-20
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-21
    Dose 2 — Moderna
  11. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-01-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-22
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free text: Have been having some joint pain that comes and goes. It is not too bad.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-25
    Dose 3 — Moderna
  26. 2021-10-25
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Chills
    Adult check-in
  28. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-24
    Survey response — 3 months, dose 3
    MedDRA: Office visit, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Tremendous stuffed up head with a fever · Healthcare visit (other): Went to primary care Dr office
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-01-24
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  41. 2022-01-27
  42. 2022-01-31
  43. 2022-02-09
  44. 2022-02-10
  45. 2022-02-10
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-21Moderna
32021-10-25Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-06

Symptoms: I have a very stuffed up nose, but I do not believe this to be vaccine related. Iris what generally happens when I do not get enough sleep. It started 1-1-2021.

Release 1 — day 21, dose 1

2021-01-13

Symptoms: Still have a completely stuffed up nose. Has been going on for about 10-14 days with no relief. I reported this before. No other symptoms. Still don't know if it could be from the vaccine or not. Rather unusual for me.

Release 9 — 6 months, dose 2

2021-07-22

Symptoms: Have been having some joint pain that comes and goes. It is not too bad.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Tremendous stuffed up head with a fever
Healthcare visit (other): Went to primary care Dr office

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
HCVOOffice visit · · ✓
SDArthralgia · · ✓
SDNasal congestion ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓

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

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