6T3-13928-43204
4 vaccinations
5 coded responses
46 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 544 / WI
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 2MedDRA: Joint stiffness, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still suffering stiff joints. Talked to dr. It might just be a bad flare up triggered by the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-06-10
Survey response — 3 months, dose 2MedDRA: Arthritis, Chills, Immediate post-injection reaction, Medical counselling, Pre-existing disease, Pyrexia — 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, Emergency room or emergency department visitFree text: Right after the shot my arthritis flared up badly. 3 times I have had to use steroids. Last week I had chills and fevers with medicinal tests showed nothing wrong. Dr thinks its all from the covid shot. But I would have gotten the shot anywayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-10
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
-
2021-09-09
Survey response — 6 months, dose 2MedDRA: Arthritis, Medical counselling, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I lost the connection for the last checkin. About a week after I got the last shot my arthritis was so bad I could hardly use my hands. It took about 2 months and 3 doses of steroids to calm it down. Im find now. · Healthcare visit (other): PhoneMedDRA releases: 2024-11 · check-in free text available
-
2021-09-09
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
-
2021-09-16
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-27
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
-
2021-11-19
Survey response — day 21, dose 3MedDRA: Arthritis, Pain, Pre-existing disease, Swelling, Vaccine positive rechallenge — Feeling: Good · Be unable to do your normal daily activitiesFree text: About four days after my booster, my arthritis started to flare up the same as it did with the second shot. The pain reached the worst by the sixth day after the booster. With use of prednisone the pain and swelling begin to subside within two daysMedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-08
Dose 4 — Moderna
- 2022-04-30
- 2022-04-30
-
2022-05-06
Survey response — day 28, dose 4MedDRA: Nasopharyngitis — Feeling: FairFree text: ColdMedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-05-21
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 6 — day 14, dose 2
Symptoms: Still suffering stiff joints. Talked to dr. It might just be a bad flare up triggered by the shot.
Release 9 — 3 months, dose 2
Symptoms: Right after the shot my arthritis flared up badly. 3 times I have had to use steroids. Last week I had chills and fevers with medicinal tests showed nothing wrong. Dr thinks its all from the covid shot. But I would have gotten the shot anyway
Release 9 — 6 months, dose 2
Symptoms: I lost the connection for the last checkin. About a week after I got the last shot my arthritis was so bad I could hardly use my hands. It took about 2 months and 3 doses of steroids to calm it down. Im find now.
Healthcare visit (other): Phone
Release 10 — day 21, dose 3
Symptoms: About four days after my booster, my arthritis started to flare up the same as it did with the second shot. The pain reached the worst by the sixth day after the booster. With use of prednisone the pain and swelling begin to subside within two days cut off by CDC
Release 11 — day 28, dose 4
Symptoms: Cold
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 | · | · | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release