ZAN-28933-66893
1 vaccination
3 coded responses
3 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 019 / MA
- Registered
- 2021-01-24
- Relationship
- Self
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
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2021-01-24
Survey response — day 14, dose 1MedDRA: Arthralgia, Joint stiffness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Injected arm very sore joint and ligament tightness soreness No fever no temp issues showed up after 4 th day past vaccination saw a dr last week no signs or symptoms of covid present vaccinated dr also had tightness soreness wants me to come backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — day 21, dose 1MedDRA: Injection site pain, Muscle tightness, Muscle twitching, Musculoskeletal chest pain, Myalgia, Office visit, Peripheral swelling, Supraclavicular fossa pain, Swelling, Tenderness — 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 visitFree text: All major muscle groups tight and painful really ribs collarbone tender tissue twitching Swelling tingling in legs neck arm where shot painfulSaw dr suggested acute myalgia from vaccination he stated it uncommon No signs of symptoms of covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-05
Survey response — day 28, dose 1MedDRA: Injection site pain, Muscle tightness, Musculoskeletal chest pain, Myositis — Feeling: Poor · 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: All large muscle groups inflamed in neck back buttocks legs Arm where vaccinated s greatly sore and painful tightness across ribsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
- 2021-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-29 | Unsuccessful | |
| 2021-02-05 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Injected arm very sore joint and ligament tightness soreness No fever no temp issues showed up after 4 th day past vaccination saw a dr last week no signs or symptoms of covid present vaccinated dr also had tightness soreness wants me to come back cut off by CDC
Release 3 — day 21, dose 1
Symptoms: All major muscle groups tight and painful really ribs collarbone tender tissue twitching Swelling tingling in legs neck arm where shot painfulSaw dr suggested acute myalgia from vaccination he stated it uncommon No signs of symptoms of covid
Release 3 — day 28, dose 1
Symptoms: All large muscle groups inflamed in neck back buttocks legs Arm where vaccinated s greatly sore and painful tightness across ribs
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Myositis | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Supraclavicular fossa pain | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release