YG9-45535-89496

3 vaccinations 11 coded responses 14 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 735 / OK
Registered: 2021-01-25

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-08
Dose 1 — Moderna
2021-01-25
Registered in v-safe
2021-01-25
Survey response — day 14, dose 1
MedDRA: Pain in extremity, Peripheral swelling, Tenderness — Feeling: Good · Be unable to do your normal daily activities

Free text: Soreness of left arm that I had received my vaccination and a swelling in my left index finger and knuckle. Extremely sensitive to touch fir about 3 days about a week ago. Now sore but almost back to normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — day 21, dose 1
MedDRA: Asthenia, Fatigue — Feeling: Good

Free text: Same but some somewhat weak and tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Moderna
2021-02-19
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Soreness in joint of thumb and index finger of right hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Musculoskeletal stiffness, Pain — Feeling: Good

Free text: Unusual Stiffness in the neck and shoulder areas. Sore but not bebilitating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-02-04
Dose 3 — Moderna
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Grip strength decreased, Pain in extremity — Feeling: Good

Free text: Slight pain in hand and thumb area. Along with some pain in finger tips cannot grip properly. Pain issues in both hands.

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspepsia — Feeling: Good · Site: Pain, Itching · Joint pains

Free text: Indigestion

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Survey response — day 21, dose 3
MedDRA: Pain in extremity — Feeling: Good

Free text: Pain in hand area; particularly, where thumbs join wrists and some finger and finger tips

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Survey response — day 28, dose 3
MedDRA: Fatigue, Pain in extremity — Feeling: Fair

Free text: More tired than usual. Still pain in , mainly, thumbs and index fingers ; in both hands

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-20
Survey response — day 42, dose 3
MedDRA: Fatigue, Insomnia — Feeling: Fair

Free text: Experiencing fatigue and not sleeping well!

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Pain — Feeling: Good

Free text: Ef shoulder pain: only when I lift it or something

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Survey response — 6 months, dose 3
MedDRA: Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tested positive Covid-19 Raging fever 104 and up

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-08
Call 1 — Left Voicemail
2022-12-08
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-02	Moderna
3	2022-02-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-05	Successful 2022-12-08	Completed over the phone

Free text

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Soreness of left arm that I had received my vaccination and a swelling in my left index finger and knuckle. Extremely sensitive to touch fir about 3 days about a week ago. Now sore but almost back to normal.

Release 3 — day 21, dose 1

2021-01-31

Symptoms: Same but some somewhat weak and tired.

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Soreness in joint of thumb and index finger of right hand

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Unusual Stiffness in the neck and shoulder areas. Sore but not bebilitating

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Slight pain in hand and thumb area. Along with some pain in finger tips cannot grip properly. Pain issues in both hands.

Release 11 — days 1–6 daily, dose 3

2022-02-05

Systemic reaction (other): Indigestion

Release 11 — day 21, dose 3

2022-02-25

Symptoms: Pain in hand area; particularly, where thumbs join wrists and some finger and finger tips

Release 11 — day 28, dose 3

2022-03-07

Symptoms: More tired than usual. Still pain in , mainly, thumbs and index fingers ; in both hands

Release 11 — day 42, dose 3

2022-03-20

Symptoms: Experiencing fatigue and not sleeping well!

Release 11 — 3 months, dose 3

2022-05-06

Symptoms: Ef shoulder pain: only when I lift it or something

Release 12 — 6 months, dose 3

2022-08-05

Symptoms: Tested positive Covid-19 Raging fever 104 and up

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	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Grip strength decreased	·	·	✓
SD	Insomnia	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Dyspepsia	·	·	✓

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