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
-
2021-04-05
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
- 2021-04-09
- 2021-04-14
- 2021-04-19
- 2021-04-28
-
2021-05-03
Dose 2 — Moderna
- 2021-05-03
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-07
- 2021-05-09
- 2021-05-10
-
2021-05-19
Survey response — day 14, dose 2MedDRA: Abdominal pain upper — Feeling: FairFree 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
- 2021-05-26
- 2021-06-01
- 2021-06-07
- 2021-06-15
- 2021-08-02
- 2021-11-03
-
2021-11-04
Dose 3 — Moderna
-
2021-11-04
Survey response — day 0, dose 3MedDRA: Injection site reaction, Muscle twitching — Feeling: FairFree text: Tricept muscle at injection site has been twitching this afternoonMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Survey response — day 7, dose 3MedDRA: Muscle twitching — Feeling: Good · Site: Itching · Muscle or body achesFree text: Muscle twitchingMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Survey response — day 14, dose 3MedDRA: Injection site reaction, Muscle twitching — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Muscle twitching around the injection point has been substantial for the past few days.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-28
Survey response — day 21, dose 3MedDRA: Injection site reaction, Muscle twitching — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Muscle twitching in arm near injection siteMedDRA releases: 2024-11 · check-in free text available
-
2021-11-28
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-30
- 2021-12-03
-
2022-02-03
Survey response — 3 months, dose 3MedDRA: Muscle twitching, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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 vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-02-03
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — day 14, dose 2
Symptoms: Stomach has been hurting for past 3 days, however was fine over the weekend.
Release 10 — day 0, dose 3
Systemic reaction (other): Tricept muscle at injection site has been twitching this afternoon
Release 10 — day 7, dose 3
Systemic reaction (other): Muscle twitching
Release 10 — day 14, dose 3
Symptoms: Muscle twitching around the injection point has been substantial for the past few days.
Release 10 — day 21, dose 3
Symptoms: Muscle twitching in arm near injection site
Release 11 — 3 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Muscle twitching | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release