YDE-23714-81268
3 vaccinations
3 coded responses
39 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 342 / FL
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-18
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: migratory arthralgias, which have involved bilateral upper and lower extremities, and neck ..... right now, seem as if resolving for the moment !!! ..... but most interesting that it had been a late symptom from time of Moderna #2 !!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-28
Survey response — day 28, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: a return of a migratory arthralgia, which prior to the Moderna vaccine, was not part of my medical history !!! . for last 48 hours, have achieved major improvement by multiple supplement modifications, and diet .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
-
2022-05-06
Survey response — 6 months, dose 3MedDRA: Exposure to fungus — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: mycotoxin exposureMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-06 | Successful 2022-05-09 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — day 14, dose 2
Symptoms: migratory arthralgias, which have involved bilateral upper and lower extremities, and neck ..... right now, seem as if resolving for the moment !!! ..... but most interesting that it had been a late symptom from time of Moderna #2 !!!
Release 8 — day 28, dose 2
Symptoms: a return of a migratory arthralgia, which prior to the Moderna vaccine, was not part of my medical history !!! . for last 48 hours, have achieved major improvement by multiple supplement modifications, and diet .
Release 11 — 6 months, dose 3
Symptoms: mycotoxin exposure
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Exposure to fungus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release