6NV-21679-71869
3 vaccinations
5 coded responses
39 check-ins
5 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 060 / CT
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-11-03
Dose 3 — Moderna
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-07
- 2021-11-09
- 2021-11-12
-
2021-11-17
Survey response — day 14, dose 3MedDRA: Arthralgia, Joint stiffness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Greater joint pain and stiffness. · Healthcare visit (other): Office visit.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-11-26
Survey response — day 21, dose 3MedDRA: Musculoskeletal stiffness, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: More muscle stiffness and soreness. · Healthcare visit (other): Office visit scheduled 11/29/21MedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-01
-
2021-12-01
Call successfulParticipant prefers to complete VAERS report online
-
2021-12-08
Survey response — day 35, dose 3MedDRA: Arthralgia, Joint stiffness, Musculoskeletal stiffness, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle and joint stiffness and pain had increased. Particularly hands and hips. · Healthcare visit (other): Office visit last week with follow up visit 12/13/21 scheduled.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-09
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-12-17
Survey response — day 42, dose 3MedDRA: Arthralgia, Blood test abnormal, Inflammation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint pain has increased. Follow up with doctor. Blood work shows inflammation. Further tests scheduled. · Healthcare visit (other): In office visit, blood work, neurological tests scheduled.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2022-02-02
Survey response — 3 months, dose 3MedDRA: Arthralgia, Arthritis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Continued joint pain. Treated by Rheumatologist and symptoms are decreasing. Diagnosis now inflammatory arthritis of undetermined cause. Feels vaccine may have triggered it, as vaccines can do, but no way to be sure. VAERS E-report number (b)(6). · Healthcare visit (other): In office consultationMedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-08
- 2022-05-04
- 2022-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
Call center
5 call center cases
4 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 10 — day 14, dose 3
Release 10 — day 21, dose 3
Symptoms: More muscle stiffness and soreness.
Healthcare visit (other): Office visit scheduled 11/29/21
Release 10 — day 35, dose 3
Symptoms: Muscle and joint stiffness and pain had increased. Particularly hands and hips.
Healthcare visit (other): Office visit last week with follow up visit 12/13/21 scheduled.
Release 10 — day 42, dose 3
Symptoms: Joint pain has increased. Follow up with doctor. Blood work shows inflammation. Further tests scheduled.
Healthcare visit (other): In office visit, blood work, neurological tests scheduled.
Release 11 — 3 months, dose 3
Symptoms: Continued joint pain. Treated by Rheumatologist and symptoms are decreasing. Diagnosis now inflammatory arthritis of undetermined cause. Feels vaccine may have triggered it, as vaccines can do, but no way to be sure. VAERS E-report number (b)(6).
Healthcare visit (other): In office consultation
redacted (b)(6)
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 | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Blood test abnormal | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release