Z24-83075-83280
3 vaccinations
4 coded responses
18 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-02-11
Dose 2 — Moderna
-
2021-02-14
Registered in v-safe
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: To Kaiser-P do muscle relaxer,ketorolac (toradol) injection could barely turn head left to right. 4 hours later much better but not 100% more like 65%MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain · Muscle or body achesFree text: 1. Annoyance: yesterday I waited 4 hours to respond and a was told the survey was closed. Today same message but my wife figured out the workaround. Tech should make this easier. Health. Yesterday I could turn my head 25 degrees left or right. Today 50 degrees. Estimate. Less fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia, Neck pain — Feeling: Fair · Muscle or body achesFree text: Muscle pain is neck pain behind left ear over to behind right ear, pain is lessening but still present. Down from severe to moderate- severe. NOT moderate yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-26
- 2021-03-04
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-05-13
Survey response — 3 months, dose 2MedDRA: Memory impairment — Feeling: GoodFree text: Minor forgetfulness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-31
- 2021-08-12
-
2021-10-06
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-11-12
- 2021-11-17
- 2022-01-06
- 2022-04-06
- 2022-10-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-14 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Healthcare visit (other): To Kaiser-P do muscle relaxer,ketorolac (toradol) injection could barely turn head left to right. 4 hours later much better but not 100% more like 65%
Systemic reaction (other): 1. Annoyance: yesterday I waited 4 hours to respond and a was told the survey was closed. Today same message but my wife figured out the workaround. Tech should make this easier. Health. Yesterday I could turn my head 25 degrees left or right. Today 50 degrees. Estimate. Less fatigue.
Systemic reaction (other): Muscle pain is neck pain behind left ear over to behind right ear, pain is lessening but still present. Down from severe to moderate- severe. NOT moderate yet.
Release 8 — 3 months, dose 2
Symptoms: Minor forgetfulness.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release