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2JN-14383-11462

3 vaccinations 6 coded responses 22 check-ins 6 free-text entries 2 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
373 / TN
Registered
2021-04-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-05
    Dose 1 — Moderna
  2. 2021-04-07
    Registered in v-safe
  3. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Abdominal pain
    Adult check-in
  4. 2021-04-14
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-04-19
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-04-28
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-05-03
    Dose 2 — Moderna
  8. 2021-05-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  9. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  10. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  12. 2021-05-10
    Health check-in — day 7, dose 2
    Feeling: Fair · Chills, Fatigue or tiredness
    Adult check-in
  13. 2021-05-19
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper — Feeling: Fair
    Free text: Stomach has been hurting for past 3 days, however was fine over the weekend.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-26
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-06-07
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-08-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-04
    Dose 3 — Moderna
  21. 2021-11-04
    Survey response — day 0, dose 3
    MedDRA: Injection site reaction, Muscle twitching — Feeling: Fair
    Free text: Tricept muscle at injection site has been twitching this afternoon
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-11
    Survey response — day 7, dose 3
    MedDRA: Muscle twitching — Feeling: Good · Site: Itching · Muscle or body aches
    Free text: Muscle twitching
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-18
    Survey response — day 14, dose 3
    MedDRA: Injection site reaction, Muscle twitching — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Muscle twitching around the injection point has been substantial for the past few days.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-28
    Survey response — day 21, dose 3
    MedDRA: Injection site reaction, Muscle twitching — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Muscle twitching in arm near injection site
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-28
    Report sent to call center — day 21, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2021-11-30
  27. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-02-03
    Survey response — 3 months, dose 3
    MedDRA: Muscle twitching, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: As i mentioned before, i was dealing with some major muscle twitching but that has subsided but still happens on occasion. Now what used to be minor tinnitus has become very annoying, which could or could not be related to the vaccine
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-02-03
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2022-02-07

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna
22021-05-03Moderna
32021-11-04Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Stomach has been hurting for past 3 days, however was fine over the weekend.

Release 10 — day 0, dose 3

2021-11-04

Systemic reaction (other): Tricept muscle at injection site has been twitching this afternoon

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Muscle twitching

Release 10 — day 14, dose 3

2021-11-18

Symptoms: Muscle twitching around the injection point has been substantial for the past few days.

Release 10 — day 21, dose 3

2021-11-28

Symptoms: Muscle twitching in arm near injection site

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: As i mentioned before, i was dealing with some major muscle twitching but that has subsided but still happens on occasion. Now what used to be minor tinnitus has become very annoying, which could or could not be related to the vaccine

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper ✓ ✓ ✓
SDInjection site reaction · · ✓
SDMuscle twitching · · ✓
SDTinnitus · · ✓
SROInjection site reaction · · ✓
SROMuscle twitching · · ✓

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