XUJ-24077-90382
1 vaccination
5 coded responses
9 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 194 / PA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-02-26
Registered in v-safe
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Eye pain, Nasal congestion, Nasopharyngitis — Feeling: Fair · Site: Pain · ChillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Gingival pain, Pain in extremity, Toothache — Feeling: Fair · Site: Pain, Itching · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-02
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-03
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2021-03-06
Survey response — 7 day, dose 1MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-12
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2021-03-20
Survey response — 21 day, dose 1MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-09-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-02 | Unsuccessful |
Free text
Release 4
Systemic reaction (other): Nasal congestion which began shortly after receiving the vaccine. Feels like a head cold. Sore eyes as well. Bloating in stomach (gas)
Systemic reaction (other): Teeth and gums hurt. Both arms sore. Lower back pain.
Healthcare visit (other): Left message for doctor. Am going online now to recommend people DO NOT get the shot based on my reactions.
Release 5
Systemic reaction (other): Nine days post vaccine and both of my arms are as sore as if I had pushed a truck.
Release 6
Symptoms: My arms still hurt. Why are you asking? No one there is reading this or offering advice to me.
Release 12
Symptoms: Arms STILL hurt two weeks later. Teeth hurt as well. Definitely causing my fibromyalgia to flare. When do i feel better?
Free-text releases are not linked to a specific 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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Gingival pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release