Z8N-10683-55711
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 320 / FL
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Joint range of motion decreased, Self-medication — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: I'm taking 2400 mg of ibuprofen to mitigate the shoulder pain and ROM is 10-20 percentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Joint range of motion decreased, Periarthritis — Feeling: Good · Muscle or body achesFree text: On Monday my shoulder was essentially “frozenâ€, yesterday I had about 40% ROM; today it was nearly 100 % with about 75% normal strength. I could push the car door open today fairly easily whereas yesterday I couldn't. I've maintained a steady regimen of ibuprofen backing it off to 1200 mg today. As well as using a Rx topical gel diclofenac sodium several times a dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-07-11
-
2022-01-10
Survey response — 12 months, dose 1MedDRA: COVID-19, Cough, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Covidmostly sinus and coughing issuesMedDRA releases: 2024-11 · check-in free text available
-
2022-01-10
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-11 | priority 2/3 | |
| 2022-01-10 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I'm taking 2400 mg of ibuprofen to mitigate the shoulder pain and ROM is 10-20 percent
Systemic reaction (other): On Monday my shoulder was essentially “frozenâ€, yesterday I had about 40% ROM; today it was nearly 100 % with about 75% normal strength. I could push the car door open today fairly easily whereas yesterday I couldn't. I've maintained a steady regimen of ibuprofen backing it off to 1200 mg today. As well as using a Rx topical gel diclofenac sodium several times a day
Release 10 — 12 months, dose 1
Symptoms: Covidmostly sinus and coughing issues
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | · | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ○ | ○ | ○ |
| SRO | Periarthritis | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release