Z5Q-65481-33981
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 190 / PA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 1MedDRA: Arthralgia, Oropharyngeal pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Little sore throat most likely from working outside when it was cold. Joint pain in elbow. · Healthcare visit (other): Scheduled a health screening with my doctor, after a monthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-07
Dose 2 — Moderna
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Fatigue, Feeling hot, Malaise, Pain, Self-medication — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Just general tiredness and feeling sick, feeling as if having temperature without actually having elevated one. Most of it went away after 24 hrs and no medication, such as Tylenol. Just left with a little bit of tiredness, feeling sore and joint pain in the elbow in the same arm where vaccine was administered both doses.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
-
2021-06-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-07
-
2021-10-06
Survey response — 6 months, dose 2MedDRA: Chills, Fatigue, Feeling cold, Myalgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Muscle pain, fatigue, feeling cold and shivering the day after the vaccine. 3 days after, no prob blemsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-31 | Successful 2021-06-09 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — day 21, dose 1
Symptoms: Little sore throat most likely from working outside when it was cold. Joint pain in elbow.
Healthcare visit (other): Scheduled a health screening with my doctor, after a month
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Just general tiredness and feeling sick, feeling as if having temperature without actually having elevated one. Most of it went away after 24 hrs and no medication, such as Tylenol. Just left with a little bit of tiredness, feeling sore and joint pain in the elbow in the same arm where vaccine was administered both doses.
Release 10 — 6 months, dose 2
Symptoms: Muscle pain, fatigue, feeling cold and shivering the day after the vaccine. 3 days after, no prob blems
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release