ZYC-26867-22917
4 vaccinations
17 coded responses
36 check-ins
17 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 710 / LA
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Dose 1 — Moderna
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2021-02-12
Registered in v-safe
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2021-02-12
Dose 2 — Moderna
- 2021-02-12
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fever · HeadacheFree text: Sore throat, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · HeadacheFree text: Sore throat, cough and runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Fever · Headache · Be unable to do your normal daily activitiesFree text: Sore throat, cough and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dizziness, Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Cough, slight sore throat, bit dizzy at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dizziness, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Congestion, cough bit dizzy. Dont think its related to Vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 7, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 14, dose 2MedDRA: Office visit, Pneumonia — Feeling: Poor · 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: Symptoms: Pneumonia, not related to the COVID Vaccine. · Healthcare visit (other): Doctors office and chest X-rayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
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)
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
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2021-10-26
Dose 3 — ModernaCo-administered: Flu
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2021-10-26
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
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2021-12-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-25
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2022-04-04
Dose 4 — Moderna
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2022-04-18
Survey response — day 14, dose 4MedDRA: Asthenia, Dizziness, Nausea, Office visit, Somnolence, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Weakness, Drowsiness, nausea, some dizziness and increase of ringing in ears. · Healthcare visit (other): G. P.MedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-25
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2022-04-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
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2022-10-03
Survey response — 6 months, dose 4MedDRA: Heart rate decreased, Malaise, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I felt terrible for 10 weeks or so. My heart rate dropped drastically, the cardiologist never could find the reason for it dropping. It is now up to between 55 to 60. I do feel much better at present. · Healthcare visit (other): G P and CardiologistMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-04
Call successfulCompleted over the phone
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-10-26 | Moderna | Flu |
| 4 | 2022-04-04 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat, cough
Systemic reaction (other): Sore throat, cough and runny nose
Systemic reaction (other): Sore throat, cough and congestion
Systemic reaction (other): Cough, slight sore throat, bit dizzy at times.
Systemic reaction (other): Congestion, cough bit dizzy. Dont think its related to Vaccine.
Release 4 — day 7, dose 2
Systemic reaction (other): Cough and congestion
Release 4 — day 14, dose 2
Symptoms: Pneumonia, not related to the COVID Vaccine.
Healthcare visit (other): Doctors office and chest X-ray
Release 10 — day 0, dose 3
Systemic reaction (other): None
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): None
Systemic reaction (other): None
Systemic reaction (other): None
Systemic reaction (other): None
Systemic reaction (other): None
Systemic reaction (other): None
Release 10 — day 7, dose 3
Systemic reaction (other): None
Release 11 — day 14, dose 4
Symptoms: Weakness, Drowsiness, nausea, some dizziness and increase of ringing in ears.
Healthcare visit (other): G. P.
Release 12 — 6 months, dose 4
Symptoms: I felt terrible for 10 weeks or so. My heart rate dropped drastically, the cardiologist never could find the reason for it dropping. It is now up to between 55 to 60. I do feel much better at present.
Healthcare visit (other): G P and Cardiologist
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 | Asthenia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release