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
-
2021-01-23
Dose 1 — Moderna
-
2021-03-02
Dose 2 — Moderna
-
2021-03-16
Registered in v-safe
- 2021-03-17
-
2021-03-24
Survey response — day 21, dose 2MedDRA: 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 consultationFree 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 testsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
-
2021-04-07
Survey response — day 35, dose 2MedDRA: 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 professionalFree text: Symptoms: Pain in joints, muscles, and especially in both shoulders. Limits movements of arms and legs. · Healthcare visit (other): Chiropractic evaluationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
- 2021-06-01
-
2021-08-31
Survey response — 6 months, dose 2MedDRA: 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, HospitalizationFree 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
-
2021-08-31
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-02
- 2021-09-08
- 2022-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Call center
| Reported | Outcome | VAERS-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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Blood test | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | ✓ | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Hospitalisation | ✓ | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SD | Movement disorder | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release