ZVN-44021-64783
5 vaccinations
4 coded responses
65 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 292 / SC
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Moderna
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-15
- 2021-03-22
- 2021-03-30
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-07-03
Survey response — 3 months, dose 2MedDRA: Office visit, Tendonitis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Seem to have developed what may be tendonitis of the right wrist. Wasn't even going to mention it, but I'll let you filter out the noise from the signal. · Healthcare visit (other): Regular doctor visits, including an X-ray.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
- 2021-08-10
- 2021-10-02
-
2021-11-16
Dose 3 — Moderna
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-18
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-02-15
-
2022-04-09
Dose 4 — Moderna
-
2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-11
- 2022-04-12
- 2022-04-13
- 2022-04-14
- 2022-04-15
- 2022-04-17
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-07-09
-
2022-09-28
Dose 5 — ModernaCo-administered: Flu
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
-
2022-10-12
Survey response — day 14, dose 5MedDRA: Accident, Skin laceration — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Health condition unrelated to vaccine or virus. Someone dropped a tree on my foot, resulting in laceration and stitches.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Report sent to call center — day 14, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-19
-
2022-10-26
Survey response — day 28, dose 5MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Let's call it Stomach Flu. 24 hours and done.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
- 2022-11-09
-
2022-12-30
Survey response — 3 months, dose 5MedDRA: Influenza like illness, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had flu-like symptoms earlier in the week. Took a home test for COVID-19, which came out negative.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
| 5 | 2022-09-28 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 9 — 3 months, dose 2
Symptoms: Seem to have developed what may be tendonitis of the right wrist. Wasn't even going to mention it, but I'll let you filter out the noise from the signal.
Healthcare visit (other): Regular doctor visits, including an X-ray.
Release 12 — day 14, dose 5
Symptoms: Health condition unrelated to vaccine or virus. Someone dropped a tree on my foot, resulting in laceration and stitches.
Release 12 — day 28, dose 5
Symptoms: Let's call it Stomach Flu. 24 hours and done.
Release 12 — 3 months, dose 5
Symptoms: Had flu-like symptoms earlier in the week. Took a home test for COVID-19, which came out negative.
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 | Accident | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin laceration | · | · | ✓ |
| SD | Tendonitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release