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ZDE-14896-90260

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
705 / LA
Registered
2021-04-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-04-05
    Dose 2 — Moderna
  3. 2021-04-19
    Registered in v-safe
  4. 2021-04-19
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Asthenia, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Crushing pain in shoulders, elbows, hands and fingers. Could not lift coffee cup i was so weak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-19
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-26
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Musculoskeletal stiffness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Very bad pain in shoulders, elbows, wrists and stiff fingers on both hands
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-03
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Hypoaesthesia, Mobility decreased, Muscular weakness, Musculoskeletal stiffness, Pain, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe pain in shoulders, wrists and very stiff fingers in both hands with tingling in fingertips of right hand. I'm aching all over, difficulty to arise from sitting position. Little or no strength in either hand.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-07-05
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Decreased appetite, Muscular weakness, Taste disorder, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I continue to have little strength in my hands and fingers. Lost 35 pounds since January 2021. Im 5ft 10inchs and weigh 155 pounds. Very little appetite and food does not taste good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-10-04
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-12-21
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  13. 2022-04-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-19 Successful
2021-12-21
Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 7 — day 14, dose 2

2021-04-19

Symptoms: Crushing pain in shoulders, elbows, hands and fingers. Could not lift coffee cup i was so weak

Release 8 — day 21, dose 2

2021-04-26

Symptoms: Very bad pain in shoulders, elbows, wrists and stiff fingers on both hands

Release 8 — day 28, dose 2

2021-05-03

Symptoms: Severe pain in shoulders, wrists and very stiff fingers in both hands with tingling in fingertips of right hand. I'm aching all over, difficulty to arise from sitting position. Little or no strength in either hand.

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: I continue to have little strength in my hands and fingers. Lost 35 pounds since January 2021. Im 5ft 10inchs and weigh 155 pounds. Very little appetite and food does not taste good

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 ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ○
SDMobility decreased · · ✓
SDMuscular weakness ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDTaste disorder ✓ ✓ ✓
SDWeight decreased · · ✓

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