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6N8-16911-73429

4 vaccinations 18 coded responses 30 check-ins 17 free-text entries 8 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
060 / CT
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-23
    Registered in v-safe
  2. 2021-02-23
    Dose 1 — Moderna
  3. 2021-02-23
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  7. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-03-02
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-03-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-23
    Dose 2 — Moderna
  14. 2021-03-23
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Injection site swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Swollen and very very sore in the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Very very sore in the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Very very sore around the injection site so sore that it's very difficult to move my upper arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Very sore in a lot of pain in the injection site through the muscles in the whole arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-29
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-03-30
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction, Office visit — Feeling: Fair · Headache
    Free text: The doctor at the Urgent Care Center put me on 50 mg of Prednisone for 3 days to help with all the side effects so far it's helping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-06
    Survey response — day 14, dose 2
    MedDRA: Decreased appetite, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I was told my overactive immune system is fighting the vaccine my body is aching from head to toe especially the injection site. Headache mild nausea and no appetite. (b)(6) put me back on a dose of prednisone for 3 days this time instea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-06
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-04-13
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Injection site pain, Lethargy, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: After being on Prednisone for 3 days at 40 mg and going through the withdrawals wasn't too bad this time except now that my injection site is still sore and all of my muscles through my body are sore and some of my joints also very tired and lethargi
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-13
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-04-20
    Survey response — day 28, dose 2
    MedDRA: Blood glucose increased — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Still on a very high dose of prednisone because my overactive immune system is fighting the moderna vaccine I'm on Prednisone for now one month my blood sugars are very high and that's not good I had to get ahold of my endrocrinologist and now she's
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-04-20
    Survey response — day 28, dose 2
    MedDRA: Blood glucose increased, Unevaluable event
    Free text: Still on a very high dose of prednisone because my overactive immune system is fighting the moderna vaccine I'm on Prednisone for now one month my blood sugars are very high and that's not good I had to get ahold of my endrocrinologist and now she's
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-04-29
    Survey response — day 35, dose 2
    MedDRA: COVID-19, Immune system disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I'm on a month of prednisone because I have an overactive immune system that is fighting the Moderno virus can anybody have you at the CDC get ahold me to help me understand what's going on please!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  30. 2021-04-29
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-05-04
    Survey response — day 42, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: My overactive immune system keeps fighting the majority of vaccine they have me on a full month's Regiment of prednisone my last day of taking the prednisone will be May 14th I really need the CDC to help me here in my doctors I don't know why you ha
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  32. 2021-05-04
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  33. 2021-06-22
    Survey response — 3 months, dose 2
    MedDRA: Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Same as reported previously. The only way that I am symptom free is to be on prednisone and I'm still waiting for the CDC to get back to me and my doctor I don't know how much longer I can do this it is not funny anymore I'm really hurting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  34. 2021-06-22
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  35. 2021-06-25
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  36. 2021-09-21
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Not taking prednisone for 2 months has made me very tired and all my muscles and my joints very sore.! I am going to see a rheumatologist on October 5th dealing with after my second moderna vaccine in March
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-07
    Dose 3 — Moderna
  38. 2022-03-23
    Survey response — 12 months, dose 2
    MedDRA: Injection site pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Left arm injection site still very sore ! · Healthcare visit (other): Seeing a specialist rheumatologist, Dr. (b)(6)
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-03-23
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  40. 2022-03-24
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  41. 2022-04-08
    Dose 4 — Moderna
  42. 2022-06-07
    Survey response — 6 months, dose 3
    MedDRA: Asthenia, Fatigue — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Feeling very tired and low energy.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-07-10
    Survey response — 3 months, dose 4
    MedDRA: Arthralgia, Injection site pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Left upper arm especially the injection site and Shoulder extremely painful in certain positions. Dr. Has scheduled an MRI. for July 14.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-07-10
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  45. 2022-07-11
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  46. 2022-10-09
    Survey response — 6 months, dose 4
    MedDRA: Arthroscopy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Arthroscopic surgery on left shoulder.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2023-04-08
    Survey response — 12 months, dose 4
    MedDRA: Fatigue, Injection site pain — Feeling: Poor
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Moderna
22021-03-23Moderna
32021-12-07Moderna No
42022-04-08Moderna No

Call center

8 call center cases

8 successful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Swollen and very very sore in the injection site

2021-03-27

Systemic reaction (other): Very very sore in the injection site

2021-03-28

Systemic reaction (other): Very very sore around the injection site so sore that it's very difficult to move my upper arm

2021-03-29

Systemic reaction (other): Very sore in a lot of pain in the injection site through the muscles in the whole arm

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): The doctor at the Urgent Care Center put me on 50 mg of Prednisone for 3 days to help with all the side effects so far it's helping

Release 7 — day 14, dose 2

2021-04-06

Symptoms: I was told my overactive immune system is fighting the vaccine my body is aching from head to toe especially the injection site. Headache mild nausea and no appetite. (b)(6) put me back on a dose of prednisone for 3 days this time instea
redacted (b)(6)

Release 7 — day 21, dose 2

2021-04-13

Symptoms: After being on Prednisone for 3 days at 40 mg and going through the withdrawals wasn't too bad this time except now that my injection site is still sore and all of my muscles through my body are sore and some of my joints also very tired and lethargi cut off by CDC

Release 7 — day 28, dose 2

2021-04-20

Symptoms: Still on a very high dose of prednisone because my overactive immune system is fighting the moderna vaccine I'm on Prednisone for now one month my blood sugars are very high and that's not good I had to get ahold of my endrocrinologist and now she's cut off by CDC

2021-04-20

Symptoms: Still on a very high dose of prednisone because my overactive immune system is fighting the moderna vaccine I'm on Prednisone for now one month my blood sugars are very high and that's not good I had to get ahold of my endrocrinologist and now she's cut off by CDC

Release 8 — day 35, dose 2

2021-04-29

Symptoms: I'm on a month of prednisone because I have an overactive immune system that is fighting the Moderno virus can anybody have you at the CDC get ahold me to help me understand what's going on please!

Release 8 — day 42, dose 2

2021-05-04

Symptoms: My overactive immune system keeps fighting the majority of vaccine they have me on a full month's Regiment of prednisone my last day of taking the prednisone will be May 14th I really need the CDC to help me here in my doctors I don't know why you ha cut off by CDC

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Same as reported previously. The only way that I am symptom free is to be on prednisone and I'm still waiting for the CDC to get back to me and my doctor I don't know how much longer I can do this it is not funny anymore I'm really hurting

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: Not taking prednisone for 2 months has made me very tired and all my muscles and my joints very sore.! I am going to see a rheumatologist on October 5th dealing with after my second moderna vaccine in March

Release 11 — 12 months, dose 2

2022-03-23

Symptoms: Left arm injection site still very sore !
Healthcare visit (other): Seeing a specialist rheumatologist, Dr. (b)(6)
redacted (b)(6)

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Feeling very tired and low energy.

Release 12 — 3 months, dose 4

2022-07-10

Symptoms: Left upper arm especially the injection site and Shoulder extremely painful in certain positions. Dr. Has scheduled an MRI. for July 14.

Release 12 — 6 months, dose 4

2022-10-09

Symptoms: Arthroscopic surgery on left shoulder.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia · · ✓
SDArthroscopy · · ✓
SDAsthenia · · ✓
SDBlood glucose increased ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDImmune system disorder ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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