3KV-27503-93063
1 vaccination
9 coded responses
14 check-ins
9 free-text entries
7 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 996 / AK
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
- 2021-01-15
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-19
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Covid PCR testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — days 1–6 daily, 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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2021-01-22
Health check-in — day 7, dose 1Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Survey response — day 14, dose 1MedDRA: Arthralgia, Insomnia, Mobility decreased, Myalgia, Pain in extremity, Self-medication — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Muscle pain and joint pain. Knees, hips, shoulders, neck and reduced rotation. Both thumbs started hurting today and last night shoulders hurt so much I could not sleep even with AdvilPM. Some times cant raise arms fully and neck wont rotate fuMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — day 21, dose 1MedDRA: Arthralgia, Mobility decreased, Muscle fatigue, Muscle spasms, Myalgia — Feeling: Good · Be unable to work, 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: Muscle pain, muscle fatigue, cramps, major joint motion range restriction and pain. Now taking Prednisone which has relieved symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-15
Survey response — day 28, dose 1MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to workFree text: Shoulder muscles and joints hurting again as I finalize last day of Prednizone treatment for symptoms from shot #1. 40 mg Famotidine 2xper day relieved symptoms and Ill start it again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 35, dose 1MedDRA: Fatigue, Feeling abnormal, Headache, Joint range of motion decreased, Myalgia, Neck pain, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Fatigue, pain In muscles, loss of joint rotation, very slow and painful lifting of arms and stretching them out, neck and head ache. Brain fog.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Report sent to call center — day 35, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-28
Survey response — day 42, dose 1MedDRA: Arthralgia, Magnetic resonance imaging, Mobility decreased, Myalgia, Neck pain, Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Both shoulders and neck muscles and biceps extremely sore and painful. Had to get shoulder MRI and am on 2nd round of Prednizone but it does not fully relieve even in combination with NSIDs. Some nights cant sleep in bed. I could not raise arm aboMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Report sent to call center — day 42, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-16
Survey response — 3 months, dose 1MedDRA: Feeling abnormal, Medical counselling, Myalgia, Ocular discomfort, Vision blurred, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I am having eye problems. I am having worse symptom with greater fuzz all around edge of vision. Also deteriorating intermediate vision. Cannot see descriptions on tv from my chair where I could with squint 2 weeks ago. · Healthcare visit (other): Medical massage for muscle painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — 3 months, 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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2021-05-11
Call successfulCompleted over the phone
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2021-07-18
Survey response — 6 months, dose 1MedDRA: Dermal cyst, Herpes zoster, Rash, Skin mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Two different types of skin rashes. On right lower front trunk what doctor discribed as classic shingles though I have had both vaccine doses. On left buttock numerous nodules below the skin with occasional irruption to surface. Valacyclovir beMedDRA releases: 2024-11 · check-in free text available
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2021-07-18
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
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2022-01-17
Survey response — 12 months, dose 1MedDRA: Arthralgia, Muscle spasms, Neuralgia, Pain in extremity, Trigger finger — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: 1. Left first finger developed "trigger finger" and left hand knuckles developed constant aches. 3-weeks later these symptoms moved to right hand. 2. Left leg calf neural pain and night cramping. 3. Left knee developed sharp ache at joint.MedDRA releases: 2024-11 · check-in free text available
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2022-01-17
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-01-19
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna |
Call center
7 call center cases
7 successful
VAERS report filed, before or during a call: 7
Free text
Release 2 — days 1–6 daily, dose 1
Healthcare visit (other): Covid PCR test
Release 3 — day 14, dose 1
Symptoms: Muscle pain and joint pain. Knees, hips, shoulders, neck and reduced rotation. Both thumbs started hurting today and last night shoulders hurt so much I could not sleep even with AdvilPM. Some times cant raise arms fully and neck wont rotate fu
Release 3 — day 21, dose 1
Symptoms: Muscle pain, muscle fatigue, cramps, major joint motion range restriction and pain. Now taking Prednisone which has relieved symptoms.
Release 4 — day 28, dose 1
Symptoms: Shoulder muscles and joints hurting again as I finalize last day of Prednizone treatment for symptoms from shot #1. 40 mg Famotidine 2xper day relieved symptoms and Ill start it again.
Release 4 — day 35, dose 1
Symptoms: Fatigue, pain In muscles, loss of joint rotation, very slow and painful lifting of arms and stretching them out, neck and head ache. Brain fog.
Release 4 — day 42, dose 1
Symptoms: Both shoulders and neck muscles and biceps extremely sore and painful. Had to get shoulder MRI and am on 2nd round of Prednizone but it does not fully relieve even in combination with NSIDs. Some nights cant sleep in bed. I could not raise arm abo
Release 7 — 3 months, dose 1
Symptoms: I am having eye problems. I am having worse symptom with greater fuzz all around edge of vision. Also deteriorating intermediate vision. Cannot see descriptions on tv from my chair where I could with squint 2 weeks ago.
Healthcare visit (other): Medical massage for muscle pains
Release 9 — 6 months, dose 1
Symptoms: Two different types of skin rashes. On right lower front trunk what doctor discribed as classic shingles though I have had both vaccine doses. On left buttock numerous nodules below the skin with occasional irruption to surface. Valacyclovir be
Release 10 — 12 months, dose 1
Symptoms: 1. Left first finger developed "trigger finger" and left hand knuckles developed constant aches. 3-weeks later these symptoms moved to right hand. 2. Left leg calf neural pain and night cramping. 3. Left knee developed sharp ache at joint.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Myalgia | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dermal cyst | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SD | Magnetic resonance imaging | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Muscle fatigue | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Ocular discomfort | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Skin mass | · | · | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Trigger finger | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release