6AZ-69798-99699
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 341 / FL
- Registered
- 2021-06-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-14
Dose 1 — Moderna
-
2021-06-18
Registered in v-safe
-
2021-06-18
Dose 2 — Moderna
- 2021-06-18
-
2021-06-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-06-20
- 2021-06-21
- 2021-06-22
- 2021-06-23
- 2021-06-27
- 2021-07-02
- 2021-07-09
- 2021-07-16
- 2021-07-23
- 2021-08-01
-
2021-09-17
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Soreness in my shoulders both of them.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-16
Dose 3 — Moderna
-
2021-12-17
Survey response — 6 months, dose 2MedDRA: Arthralgia, Office visit — Feeling: GoodFree text: My shoulders are painful, I don't know what caused it and I am seeing a physician about it. I don't think it was the vaccine because it started all of a sudden about 4 weeks ago.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
- 2021-12-19
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Office visit, Unevaluable event — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I don't think the vaccine did that. · Healthcare visit (other): Primary care physicianMedDRA releases: 2024-11 · check-in free text available
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2021-12-21
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-12-22
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-23
Survey response — day 7, dose 3MedDRA: Office visit — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professionalFree text: Primary CareMedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-27
- 2021-12-28
-
2021-12-30
Survey response — day 14, dose 3MedDRA: Arthralgia, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My shoulders are hurting and I don't think it's the vaccine. I have tried returning calls that someone from the CDC has tried contacting me. Haven't heard anything yet. · Healthcare visit (other): I told my Cardiologist and he referred me to another doctor.MedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-01-06
- 2022-01-13
- 2022-01-21
- 2022-01-27
- 2022-03-17
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2022-06-17
Survey response — 6 months, dose 3MedDRA: Cardiac failure, Hospitalisation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I had to be admitted to the hospital for heart failure. I do not think that this had to do with my vaccinations.MedDRA releases: 2024-11 · check-in free text available
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2022-06-17
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2022-06-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-14 | Moderna | |
| 2 | 2021-06-18 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
Call center
5 call center cases
5 successful
Free text
Release 9 — 3 months, dose 2
Symptoms: Soreness in my shoulders both of them.
Release 10 — 6 months, dose 2
Symptoms: My shoulders are painful, I don't know what caused it and I am seeing a physician about it. I don't think it was the vaccine because it started all of a sudden about 4 weeks ago.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I don't think the vaccine did that.
Healthcare visit (other): Primary care physician
Release 10 — day 7, dose 3
Healthcare visit (other): Primary Care
Release 10 — day 14, dose 3
Symptoms: My shoulders are hurting and I don't think it's the vaccine. I have tried returning calls that someone from the CDC has tried contacting me. Haven't heard anything yet.
Healthcare visit (other): I told my Cardiologist and he referred me to another doctor.
Release 12 — 6 months, dose 3
Symptoms: I had to be admitted to the hospital for heart failure. I do not think that this had to do with my vaccinations.
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cardiac failure | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release