637-23540-04875
3 vaccinations
5 coded responses
9 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-11-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-02-26
Dose 2 — Moderna
-
2021-11-06
Dose 3 — Moderna
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2021-11-12
Registered in v-safe
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Poor · 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 professional · Emergency room or emergency department visitFree text: on November 7 2021MedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-16
- 2021-11-22
- 2021-11-24
-
2021-11-24
Callback requested for03:00PM ET
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2021-11-27
Survey response — day 21, dose 3MedDRA: Hypoaesthesia — Feeling: FairFree text: Numbness seems to be migrating to my arms.MedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — day 28, dose 3MedDRA: Hypoaesthesia, Neuralgia — Feeling: FairFree text: Nerve pain in both arms from your maiden biceps to wrist. Back and stomach numbness getting a little bit better.MedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Survey response — day 35, dose 3MedDRA: Arthralgia, Myalgia, Pain, Tenderness, Tendon pain — Feeling: FairFree text: The tendons in both my forearms are sore and tender to the touch. Cannot stretch out my arms without a sharp pain in biceps and wrist.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
- 2022-02-05
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2022-05-07
Survey response — 6 months, dose 3MedDRA: Abdominal pain, Hypoaesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I still have numbness in my forearms from the Moderna booster shot. The sever pain and sunburn sensation around my abdomen and numbness in my thigh muscles is gone. · Healthcare visit (other): Concern of long term numbness in my forearms.MedDRA releases: 2024-11 · check-in free text available
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2022-05-07
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-10
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | No |
| 2 | 2021-02-26 | Moderna | No |
| 3 | 2021-11-06 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — days 1–6 daily, dose 3
Healthcare visit (other): on November 7 2021
Release 10 — day 21, dose 3
Symptoms: Numbness seems to be migrating to my arms.
Release 10 — day 28, dose 3
Symptoms: Nerve pain in both arms from your maiden biceps to wrist. Back and stomach numbness getting a little bit better.
Release 10 — day 35, dose 3
Symptoms: The tendons in both my forearms are sore and tender to the touch. Cannot stretch out my arms without a sharp pain in biceps and wrist.
Release 11 — 6 months, dose 3
Symptoms: I still have numbness in my forearms from the Moderna booster shot. The sever pain and sunburn sensation around my abdomen and numbness in my thigh muscles is gone.
Healthcare visit (other): Concern of long term numbness in my forearms.
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 | Hypoaesthesia | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SD | Tendon pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release