3EN-17960-69829
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 660 / KS
- Registered
- 2021-05-28
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-03
Dose 1 — Moderna
-
2021-05-25
Dose 2 — Moderna
-
2021-05-28
Registered in v-safe
- 2021-05-28
-
2021-05-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have a had a mild cough as wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-01
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-06-10
- 2021-06-22
-
2021-06-29
Survey response — day 35, dose 2MedDRA: Dyspnoea, Limb discomfort — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My arm where I got the covid shit has really been doing poorly and sometimes I move the arm a certain way and I can't breathe well,I have to rest for a few minutes to recover.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Survey response — day 42, dose 2MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My left arm where I got my covid shot has really been bothering me and it's getting worse by the day I went to the doctor and they gave me some cream to rub on the muscles but it's still on constant pain,I can't even pick up things heavier than 5 lbsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-24
Survey response — 3 months, dose 2MedDRA: Asthenia, Fatigue, Hypoaesthesia, Injection site pain, Office visit, Pain, Respiration abnormal — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I am tired a lot of the times and my breathing is off, my arm where I got my covid shit is constantly in pain. Sometime my arm goes numb and looses strength. · Healthcare visit (other): I went to heartland here in Lawrence Kansas and they sent me to get a ultrasound on my arm and said it is nothing that they can see.but I'm still in pain.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-31
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Moderna | |
| 2 | 2021-05-25 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I have a had a mild cough as well
Release 9 — day 35, dose 2
Symptoms: My arm where I got the covid shit has really been doing poorly and sometimes I move the arm a certain way and I can't breathe well,I have to rest for a few minutes to recover.
Release 9 — day 42, dose 2
Symptoms: My left arm where I got my covid shot has really been bothering me and it's getting worse by the day I went to the doctor and they gave me some cream to rub on the muscles but it's still on constant pain,I can't even pick up things heavier than 5 lbs cut off by CDC
Release 9 — 3 months, dose 2
Symptoms: I am tired a lot of the times and my breathing is off, my arm where I got my covid shit is constantly in pain. Sometime my arm goes numb and looses strength.
Healthcare visit (other): I went to heartland here in Lawrence Kansas and they sent me to get a ultrasound on my arm and said it is nothing that they can see.but I'm still in pain.
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 | ✓ | · | ✓ |
| HCVO | Pain | ✓ | · | ✓ |
| SD | Asthenia | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | · | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiration abnormal | ✓ | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release