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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

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Joint stiffness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-29
    Survey response — day 21, dose 1
    MedDRA: 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 visit
    Free 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 covid
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-29
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-05
    Survey response — day 28, dose 1
    MedDRA: 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 visit
    Free text: All large muscle groups inflamed in neck back buttocks legs Arm where vaccinated s greatly sore and painful tightness across ribs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-05
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-06-10
  9. 2021-06-17

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-29 Unsuccessful
2021-02-05 Unsuccessful

Free text

Release 2 — day 14, dose 1

2021-01-24

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

2021-01-29

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

2021-02-05

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDJoint stiffness ✓ ✓ ✓
SDMuscle tightness ✓ ✓ ✓
SDMuscle twitching ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDMyositis ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDSupraclavicular fossa pain ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDTenderness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release