ZU9-32560-04574

2 vaccinations 7 coded responses 9 check-ins 7 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 954 / CA
Registered: 2021-04-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-27
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-10
Survey response — day 14, dose 1
MedDRA: Gait disturbance, Musculoskeletal stiffness, Night sweats — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme stiffness in my adductor muscles and back. I can hardly walk! Also Night sweats.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Dose 2 — Moderna
2021-04-17
Survey response — day 21, dose 1
MedDRA: Arthralgia, Back pain, Myalgia, Neck pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Intense muscle and joint pain in my hips, shoulders, elbows back and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 21, dose 2
MedDRA: Arthralgia, Myalgia, Office visit — Feeling: Fair · 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

Free text: Symptoms: Severe muscle and joint pain · Healthcare visit (other): General Practice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 21, 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)
2021-05-15
Survey response — day 28, dose 2
MedDRA: Arthralgia, Myalgia, Office visit — 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

Free text: Symptoms: Continued muscular pain in all the major joints and muscles. Currently on 30 mg a day prednisone and 400mg a day of Celebrex for pain. No diagnosis yet. Definitely vaccine related. · Healthcare visit (other): GP. Waiting to see Rheumatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 28, 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)
2021-05-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Muscular weakness, Office visit, Pain, Paraesthesia — Feeling: Poor · 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: Acute pain in shoulders and knees, muscle weakness in legs and arms, acute pain in wrists.Tingling in feet. · Healthcare visit (other): In hospital appointment with Rheumatologist

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-25
Call 1 — Left Voicemail
2021-07-26
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe joint pain in knees, hands, shoulders

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Acute joint pain in wrists, shoulders hips and knees · Healthcare visit (other): In office visits to rheumatologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-17	Moderna

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-10

Symptoms: Extreme stiffness in my adductor muscles and back. I can hardly walk! Also Night sweats.

Release 7 — day 21, dose 1

2021-04-17

Symptoms: Intense muscle and joint pain in my hips, shoulders, elbows back and neck

Release 8 — day 21, dose 2

2021-05-08

Symptoms: Severe muscle and joint pain

Healthcare visit (other): General Practice

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Continued muscular pain in all the major joints and muscles. Currently on 30 mg a day prednisone and 400mg a day of Celebrex for pain. No diagnosis yet. Definitely vaccine related.

Healthcare visit (other): GP. Waiting to see Rheumatologist

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Acute pain in shoulders and knees, muscle weakness in legs and arms, acute pain in wrists.Tingling in feet.

Healthcare visit (other): In hospital appointment with Rheumatologist

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Severe joint pain in knees, hands, shoulders

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: Acute joint pain in wrists, shoulders hips and knees

Healthcare visit (other): In office visits to rheumatologist

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	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Pain	·	·	✓
SD	Paraesthesia	·	·	✓

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