YZE-27131-67267
4 vaccinations
3 coded responses
52 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 801 / CO
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 28, dose 2MedDRA: Arthralgia, Impaired healing, Loss of personal independence in daily activities, Sleep disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Both shoulders appear to have something going on. They are hurting so bad for a few weeks now that its hard to sleep and even put a seatbelt on · Healthcare visit (other): Have an appointment coming up next weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-19
Survey response — day 35, dose 2MedDRA: Arthralgia, Movement disorder — Feeling: FairFree text: Both shoulders are still acting like they are inflamed. Hard to lift anythingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 42, dose 2MedDRA: Limb discomfort, Musculoskeletal discomfort — Feeling: FairFree text: Joints in both shoulders are finely starting to calm down. Right leg is going crazy from ankle to hip. May be my sciatic but it just keeps going on and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-08-15
-
2021-11-03
Dose 3 — Moderna
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
-
2021-12-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-02
-
2022-04-22
Dose 4 — Moderna
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-01
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
- 2022-10-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-12 | Successful 2021-12-21 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — day 28, dose 2
Symptoms: Both shoulders appear to have something going on. They are hurting so bad for a few weeks now that its hard to sleep and even put a seatbelt on
Healthcare visit (other): Have an appointment coming up next week
Release 5 — day 35, dose 2
Symptoms: Both shoulders are still acting like they are inflamed. Hard to lift anything
Release 6 — day 42, dose 2
Symptoms: Joints in both shoulders are finely starting to calm down. Right leg is going crazy from ankle to hip. May be my sciatic but it just keeps going on and on
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 | Arthralgia | ○ | ✓ | ○ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Impaired healing | ○ | ✓ | ○ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | · | ✓ |
| SD | Movement disorder | ✓ | ✓ | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release