23U-25710-41953
5 vaccinations
5 coded responses
64 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats — Feeling: Good · Fever · Chills, Headache, NauseaFree text: Symptoms came suddenly last evening with night sweats but felt fine by morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
-
2021-02-18
Survey response — day 14, dose 1MedDRA: Musculoskeletal stiffness, Rash, Rash vesicular — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash (blisters) on hands that feel like burns with arthritis like stiffness. Dr. Prescribed dexamethasone. Symptoms are improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — day 21, dose 1MedDRA: Arthralgia, Blister, Joint stiffness, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The blisters on my hands that I mentioned the last time resolved with the dexamethasone. However, the stiff joints and sore muscles in hands have progressed to my hips and knees.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-03-06
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-08-06
-
2021-08-06
Call successfulCompleted over the phone
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Fall, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am only feeling fair due to a extremely stiff neck. Im sure more due to a recent fall then vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-13
Dose 4 — Moderna
-
2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body achesAdult check-in
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-19
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-13
-
2022-10-10
Dose 5 — Moderna
-
2022-10-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2022-10-13
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-24
-
2022-10-31
Survey response — day 21, dose 5MedDRA: Herpes zoster — 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: I have just been diagnosed with shinglesMedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Report sent to call center — day 21, dose 5Be 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)
-
2022-11-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2023-01-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Symptoms came suddenly last evening with night sweats but felt fine by morning
Release 4 — day 14, dose 1
Symptoms: Rash (blisters) on hands that feel like burns with arthritis like stiffness. Dr. Prescribed dexamethasone. Symptoms are improving.
Release 4 — day 21, dose 1
Symptoms: The blisters on my hands that I mentioned the last time resolved with the dexamethasone. However, the stiff joints and sore muscles in hands have progressed to my hips and knees.
Release 9 — 6 months, dose 2
Symptoms: I am only feeling fair due to a extremely stiff neck. Im sure more due to a recent fall then vaccine.
Release 12 — day 21, dose 5
Symptoms: I have just been diagnosed with shingles
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blister | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash vesicular | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release