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ZCA-13549-52753

2 vaccinations 3 coded responses 8 check-ins 3 free-text entries 3 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
028 / RI
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-23
    Dose 1 — Moderna
  2. 2021-03-02
    Dose 2 — Moderna
  3. 2021-03-16
    Registered in v-safe
  4. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  5. 2021-03-24
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Blood test, Insomnia, Movement disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Severe joint pain, generally, from shoulders to hips and legs especially after sitting any extensive time. Making sleep difficult in movements difficult · Healthcare visit (other): Extensive blood tests
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-24
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-04-07
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Joint range of motion decreased, Myalgia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pain in joints, muscles, and especially in both shoulders. Limits movements of arms and legs. · Healthcare visit (other): Chiropractic evaluation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-07
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-04-13
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-08-31
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Atrial fibrillation, Emergency care, Fatigue, Hospitalisation, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: I have experienced continued muscle aches, pain in joints especially knees and shoulders, and fatigue. Also I had a period of A fib, which required emergency room in a hospital stay.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-31
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-09-02
  15. 2021-09-08
  16. 2022-03-02
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-03-02Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-24 Unsuccessful Reported to VAERS voluntarily prior to GDIT contact
2021-04-07 Unsuccessful Reported to VAERS voluntarily prior to GDIT contact
2021-08-31 Unsuccessful Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 6 — day 21, dose 2

2021-03-24

Symptoms: Severe joint pain, generally, from shoulders to hips and legs especially after sitting any extensive time. Making sleep difficult in movements difficult
Healthcare visit (other): Extensive blood tests

Release 7 — day 35, dose 2

2021-04-07

Symptoms: Pain in joints, muscles, and especially in both shoulders. Limits movements of arms and legs.
Healthcare visit (other): Chiropractic evaluation

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: I have experienced continued muscle aches, pain in joints especially knees and shoulders, and fatigue. Also I had a period of A fib, which required emergency room in a hospital stay.

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
HCVOBlood test ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAtrial fibrillation ✓ · ✓
SDEmergency care ✓ · ✓
SDFatigue ✓ · ✓
SDHospitalisation ✓ · ✓
SDInsomnia ✓ ✓ ✓
SDJoint range of motion decreased ✓ ✓ ✓
SDMovement disorder ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓

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