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YDS-14702-43574

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 1 call case
Sex
Male
Age at first dose
61-65
ZIP prefix
760 / TX
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Moderna
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-15
    Dose 2 — Moderna
  5. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Injection site discolouration, Mobility decreased, Muscle tightness — Feeling: Fair · Site: Pain · Fever
    Free text: Where the needle entered there must havebeen bleeding (morev than just a drop or two). Today there is a purple area about the size of a dime around the point where the needle entered. My shoulder has felt sore and tight all day. There are other symptoms that you list here that I feel but I have arthritis and last week I also injured my lower back and have very limited mobility on account of that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Fair
    Free text: The area around the injection point is even more purple and bruised than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discolouration — Feeling: Fair
    Free text: The immediate area around the injection point is still very purple but not sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: The area around the injection point is still very purple; no pain or itch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discolouration — Feeling: Good
    Free text: The area around the injection point is still very purple.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discolouration — Feeling: Good
    Free text: The area around the injection point is still very purple.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-22
    Survey response — day 7, dose 2
    MedDRA: Injection site discolouration — Feeling: Good
    Free text: The area around the injection point is still very purple.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: Adverse reaction, Impaired work ability, Self-medication, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: 6 days ago I started feeling symptoms of an allergy and sinus infection. Two days later it became serious enough that I decided to miss a meeting with others that I weekly attend. I used OTC allergy medication and now feel much better.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-15
    Survey response — 12 months, dose 2
    MedDRA: Bradykinesia, Fatigue, Herpes zoster, Pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I started taking Valacyclovir (1 mg) 3 times daily since Wednesday afternoon for a viral infection (shingles). But I feel tired and sore most of the time, probably due to my arthritis. For the last two weeks I've especially felt tired, sore & slow.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-15
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-04-19
  23. 2022-04-19
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-04-15 Successful
2022-04-19
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Where the needle entered there must havebeen bleeding (morev than just a drop or two). Today there is a purple area about the size of a dime around the point where the needle entered. My shoulder has felt sore and tight all day. There are other symptoms that you list here that I feel but I have arthritis and last week I also injured my lower back and have very limited mobility on account of that.

2021-04-17

Systemic reaction (other): The area around the injection point is even more purple and bruised than yesterday.

2021-04-18

Systemic reaction (other): The immediate area around the injection point is still very purple but not sore.

2021-04-19

Systemic reaction (other): The area around the injection point is still very purple; no pain or itch.

2021-04-20

Systemic reaction (other): The area around the injection point is still very purple.

2021-04-21

Systemic reaction (other): The area around the injection point is still very purple.

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): The area around the injection point is still very purple.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: 6 days ago I started feeling symptoms of an allergy and sinus infection. Two days later it became serious enough that I decided to miss a meeting with others that I weekly attend. I used OTC allergy medication and now feel much better.

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: I started taking Valacyclovir (1 mg) 3 times daily since Wednesday afternoon for a viral infection (shingles). But I feel tired and sore most of the time, probably due to my arthritis. For the last two weeks I've especially felt tired, sore & slow. cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDAdverse reaction · · ✓
SDBradykinesia · · ✓
SDFatigue · · ✓
SDHerpes zoster · · ✓
SDImpaired work ability · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDSelf-medication · · ✓
SDSinusitis · · ✓
SROArthralgia ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site discolouration ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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