2CX-12842-83879
4 vaccinations
5 coded responses
29 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 334 / FL
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Moderna
-
2021-04-17
Registered in v-safe
- 2021-04-17
- 2021-04-19
- 2021-04-20
-
2021-05-11
Dose 2 — Moderna
- 2021-05-11
- 2021-05-12
-
2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pain in jaw, Pelvic pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Sharp shooting pain in jaw area and then front pelvic area. Jaw: 11pm may 12th 2021.pelvic: 3am may13th 2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pain — Feeling: Fair · Joint painsFree text: Very sharp shooting joint pain hurt like a bitch in the knuckle of my index finger right hand and the big toe on my right foot and the ball of my right foot underneathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-18
-
2021-05-25
Survey response — day 14, dose 2MedDRA: Peripheral swelling — Feeling: GoodFree text: Swollen feet and hands lasted about five or six hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
- 2021-06-08
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2021-06-17
Survey response — day 35, dose 2MedDRA: Arthralgia, Chest pain, Pain — Feeling: GoodFree text: Twice I have felt sharp shooting pain in one of my joints and one on the right side of my chest the pain go straight through last for about 3 to 10 secondsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
-
2021-08-10
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: All over body joint pain mainly on the left sideMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-09
-
2021-12-17
Dose 3 — Moderna
-
2022-05-01
Dose 4 — Moderna
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
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2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2022-05-08
- 2022-05-15
- 2022-05-22
- 2022-05-29
- 2022-06-05
- 2022-06-12
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-05-01 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sharp shooting pain in jaw area and then front pelvic area. Jaw: 11pm may 12th 2021.pelvic: 3am may13th 2021
Systemic reaction (other): Very sharp shooting joint pain hurt like a bitch in the knuckle of my index finger right hand and the big toe on my right foot and the ball of my right foot underneath
Release 8 — day 14, dose 2
Symptoms: Swollen feet and hands lasted about five or six hours
Release 9 — day 35, dose 2
Symptoms: Twice I have felt sharp shooting pain in one of my joints and one on the right side of my chest the pain go straight through last for about 3 to 10 seconds
Release 9 — 3 months, dose 2
Symptoms: All over body joint pain mainly on the left side
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Pelvic pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release