2CN-38797-84389
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 940 / CA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
- 2021-01-28
- 2021-02-05
-
2021-02-12
Survey response — day 21, dose 1MedDRA: Heart rate increased, Injection site pruritus, Pruritus — Feeling: GoodFree text: Actually I forgot that about 5-6 days after my first shot my left arm kept itching wher I had the shot and during the next few days I had itching in my back about parallel to my shot. Also, last wee after reporting , had pulse elevated & left shouldeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-07
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Arthralgia, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Hip, especially Right hip pain intermittently · Healthcare visit (other): Fitness and PTherapistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Arthralgia, Joint stiffness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tightness and pain in my hips, especially during first 2 hours of the morning · Healthcare visit (other): Physical medicine doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 21, dose 1
Symptoms: Actually I forgot that about 5-6 days after my first shot my left arm kept itching wher I had the shot and during the next few days I had itching in my back about parallel to my shot. Also, last wee after reporting , had pulse elevated & left shoulde cut off by CDC
Release 8 — 3 months, dose 2
Symptoms: Hip, especially Right hip pain intermittently
Healthcare visit (other): Fitness and PTherapist
Release 9 — 6 months, dose 2
Symptoms: Tightness and pain in my hips, especially during first 2 hours of the morning
Healthcare visit (other): Physical medicine doctor
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 | ✓ | · | ✓ |
| HCVO | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release