2GC-16373-67181
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Muscle soreness arm opposite to injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body achesFree text: Temperature returned to normal range 97.5, peak yesterday was 98.8MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness, Pain in extremity, Self-medication — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Upper arm pain and stiffness on side opposite injection had worsened. Taking ibuprofen which seems not to be of much help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Tendon calcification — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Went to urgent care yesterday X-rays take of left upper arm and shoulder preliminary diagnosis of calcific tendionopathy. Awaiting feedback from x-ray specialist and have scheduled with my primary care for next Friday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Arthritis, Condition aggravated, Inflammation, Office visit, Pre-existing disease, Tendonitis — Feeling: Fair · Muscle or body achesFree text: Inflammation left rotator cuff opposite arm from injection site. From urgent care visit seems pre-existing calcific tendionopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-13
- 2021-04-19
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle soreness arm opposite to injection.
Systemic reaction (other): Temperature returned to normal range 97.5, peak yesterday was 98.8
Systemic reaction (other): Upper arm pain and stiffness on side opposite injection had worsened. Taking ibuprofen which seems not to be of much help.
Systemic reaction (other): Went to urgent care yesterday X-rays take of left upper arm and shoulder preliminary diagnosis of calcific tendionopathy. Awaiting feedback from x-ray specialist and have scheduled with my primary care for next Friday.
Systemic reaction (other): Inflammation left rotator cuff opposite arm from injection site. From urgent care visit seems pre-existing calcific tendionopathy
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 |
|---|---|---|---|---|
| SRO | Arthritis | ✓ | · | ○ |
| SRO | Condition aggravated | ✓ | · | ○ |
| SRO | Inflammation | ○ | ✓ | ○ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tendon calcification | ✓ | ✓ | ✓ |
| SRO | Tendonitis | ○ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release