2XD-10435-39372
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 971 / OR
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Moderna
- 2021-03-09
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
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2021-03-30
Survey response — day 21, dose 1MedDRA: Office visit, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Left arm continues to ache mid-biceps and left wrist & palm. Wake up feeling as if my left arm & hand was working all night. Hoping this doesn't get worse with follow-up vaccination. Still able to do normal work. · Healthcare visit (other): Chiropractic & massage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-06
Dose 2 — Moderna
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2021-04-06
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Paranasal sinus hypersecretion — Feeling: Good · DiarrheaFree text: Nasal drainage... mught be pollen allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-05
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2022-03-10
Call successfulParticipant prefers to complete VAERS report online
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2022-04-06
Survey response — 12 months, dose 2MedDRA: Abdominal distension, Arthralgia, Diarrhoea, Disturbance in attention, Fatigue, Headache, Mental impairment — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Since COVID booster on Fri Feb 4... Upper torso joints aching, diarrhea and bloating, fatigue requiring signif' more sleep, frequent dull headaches with difficulty thinking to problem solve, organize or stay on task.MedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-11
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 21, dose 1
Symptoms: Left arm continues to ache mid-biceps and left wrist & palm. Wake up feeling as if my left arm & hand was working all night. Hoping this doesn't get worse with follow-up vaccination. Still able to do normal work.
Healthcare visit (other): Chiropractic & massage.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Nasal drainage... mught be pollen allergies
Release 11 — 12 months, dose 2
Symptoms: Since COVID booster on Fri Feb 4... Upper torso joints aching, diarrhea and bloating, fatigue requiring signif' more sleep, frequent dull headaches with difficulty thinking to problem solve, organize or stay on task.
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 distension | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Mental impairment | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release