6T6-13847-05565
4 vaccinations
3 coded responses
50 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 193 / PA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Moderna
-
2021-04-17
Registered in v-safe
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body achesAdult check-in
- 2021-04-18
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-09
-
2021-05-14
Dose 2 — Moderna
-
2021-05-14
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-28
-
2021-06-04
Survey response — day 21, dose 2MedDRA: Chest pain, Pain in extremity, Sleep disorder — Feeling: GoodFree text: Moderate, upper center and upper right chest pain, and upper right arm pain that lasted from Saturday to Thursday. Pain was worse at night, and disrupted my ability to sleep.I planned to go to a doctor, but symptoms started to subside yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-13
- 2021-06-20
-
2021-06-25
Survey response — day 42, dose 2MedDRA: Chest pain, Pain in extremity — Feeling: GoodFree text: Mild but chronic upper right chest and arm pain that seems to come and go, particularly where the 1st rib bone meets the sternum. No longer affects my sleep, but it is still quite annoying. No other abnormal symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-13
Survey response — 3 months, dose 2MedDRA: Chest pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mild, chronic, upper right sided chest pain starting about 2 weeks after 2nd dose of Moderna vaccination. No other symptoms. Pain still persists to now, but flareups are slowly getting more mild. · Healthcare visit (other): Regular, in-office visits to primary care physician and to cardiologist. So far, visits and tests have indicated normal health.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-20
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-14
-
2022-04-16
Dose 3 — Moderna
- 2022-04-16
-
2022-04-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-07-18
-
2022-09-08
Dose 4 — Moderna
- 2022-09-08
-
2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fever · Chills, Fatigue or tirednessAdult check-in
-
2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-09-12
- 2022-09-17
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2022-04-16 | Moderna | No |
| 4 | 2022-09-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Moderate, upper center and upper right chest pain, and upper right arm pain that lasted from Saturday to Thursday. Pain was worse at night, and disrupted my ability to sleep.I planned to go to a doctor, but symptoms started to subside yesterday.
Release 9 — day 42, dose 2
Symptoms: Mild but chronic upper right chest and arm pain that seems to come and go, particularly where the 1st rib bone meets the sternum. No longer affects my sleep, but it is still quite annoying. No other abnormal symptoms.
Release 9 — 3 months, dose 2
Symptoms: Mild, chronic, upper right sided chest pain starting about 2 weeks after 2nd dose of Moderna vaccination. No other symptoms. Pain still persists to now, but flareups are slowly getting more mild.
Healthcare visit (other): Regular, in-office visits to primary care physician and to cardiologist. So far, visits and tests have indicated normal health.
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release