2BM-19734-12359
2 vaccinations
11 coded responses
17 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 317 / GA
- Registered
- 2021-08-11
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-08-03
Dose 1 — Moderna
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2021-08-11
Registered in v-safe
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2021-08-11
Survey response — day 7, dose 1MedDRA: Arthralgia, Arthritis, Back pain, Discomfort, Pain, Pre-existing disease — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I have asthma, high blood pressure, fibromyalgia arthritis my regular aches and pains seems to be more painful also I have a new heaviness with pain in my back and joints after shotMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-17
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2021-08-25
Survey response — day 21, dose 1MedDRA: Headache, Muscle spasms, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have had severe headaches and sore throat for about 4 days now as well as muscle crampsMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-31
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2021-09-08
Dose 2 — Moderna
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2021-09-09
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Flushing, Formication, Headache, Injection site reaction — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Waves of flushing, lower back pain,crawling and bubbling feeling at injection site also headachesMedDRA releases: 2024-11 · check-in free text available
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2021-09-10
Survey response — days 1–6 daily, dose 2MedDRA: Joint swelling, Neck pain — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Neck pain, ankle swellingMedDRA releases: 2024-11 · check-in free text available
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2021-09-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-12
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Loss of personal independence in daily activities, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sore throat and backache i have to push myself hard to be able to accomplish anythingMedDRA releases: 2024-11 · check-in free text available
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2021-09-13
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Flank pain, Muscle spasms — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Back and sides hurting also cramps in thighsMedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Health check-in — day 7, dose 2Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-22
- 2021-09-29
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2021-10-08
Survey response — day 28, dose 2MedDRA: Arthralgia, Back pain, Hypoaesthesia, Muscular weakness, Neck pain, Office visit, Pain in extremity, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I don't know if has anything to do with shot but I have been having numbness and pain and weakness in my arms and hands and neck and shoulders as well as pain in my back and knees i do have fibromyalgia and arthritis so am not sure if it is the shot · Healthcare visit (other): Doctors officeMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-11
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2021-10-14
Survey response — day 35, dose 2MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe arm pain in right armMedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Survey response — day 42, dose 2MedDRA: Arthralgia, Fatigue, Insomnia, Pain in extremity — 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 visitFree text: I still have the hand wrist and shoulder pain which sometimes keeps me from getting a good night's sleep i also have a lot of fatigueMedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-22
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2021-12-08
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Office visit, Pain in extremity — 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 visitFree text: I am still having hand and arm pain alone with stomach pain i dont know if it has anything to do with shot but it is a new pain which i am trying to get treated at orthopedic doctorMedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-09
- 2021-12-14
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2022-03-15
Survey response — 6 months, dose 2MedDRA: COVID-19 pneumonia, Pulmonary thrombosis — Feeling: Poor · 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 had covid pneumonia which left me with a blood clot in my lungs that i am being treated for nowMedDRA releases: 2024-11 · check-in free text available
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2022-03-15
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-03-16
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-03 | Moderna | No |
| 2 | 2021-09-08 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 9 — day 7, dose 1
Systemic reaction (other): I have asthma, high blood pressure, fibromyalgia arthritis my regular aches and pains seems to be more painful also I have a new heaviness with pain in my back and joints after shot
Release 9 — day 21, dose 1
Symptoms: I have had severe headaches and sore throat for about 4 days now as well as muscle cramps
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Waves of flushing, lower back pain,crawling and bubbling feeling at injection site also headaches
Systemic reaction (other): Neck pain, ankle swelling
Systemic reaction (other): Sore throat and backache i have to push myself hard to be able to accomplish anything
Systemic reaction (other): Back and sides hurting also cramps in thighs
Release 10 — day 28, dose 2
Symptoms: I don't know if has anything to do with shot but I have been having numbness and pain and weakness in my arms and hands and neck and shoulders as well as pain in my back and knees i do have fibromyalgia and arthritis so am not sure if it is the shot cut off by CDC
Healthcare visit (other): Doctors office
Release 10 — day 35, dose 2
Symptoms: Severe arm pain in right arm
Release 10 — day 42, dose 2
Symptoms: I still have the hand wrist and shoulder pain which sometimes keeps me from getting a good night's sleep i also have a lot of fatigue
Release 10 — 3 months, dose 2
Symptoms: I am still having hand and arm pain alone with stomach pain i dont know if it has anything to do with shot but it is a new pain which i am trying to get treated at orthopedic doctor
Release 11 — 6 months, dose 2
Symptoms: I had covid pneumonia which left me with a blood clot in my lungs that i am being treated for now
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 | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | COVID-19 pneumonia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pulmonary thrombosis | · | · | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Arthritis | ✓ | · | ✓ |
| SRO | Back pain | ✓ | · | ✓ |
| SRO | Discomfort | ✓ | · | ✓ |
| SRO | Flank pain | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Formication | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Loss of personal independence in daily activities | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release