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2K9-25926-63587

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
546 / WI
Registered
2021-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-17
    Registered in v-safe
  3. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chest pain, Injected limb mobility decreased, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Arm pain radiating through chest shoulder and down arm. Shhoting pain and unable to use arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-17
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-12
    Dose 2 — Moderna
  8. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  9. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Pain in lower back area in the kidney area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  11. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  12. 2021-03-28
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-16
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Brain fog, Disturbance in attention, Dyspnoea, Headache — Feeling: Fair
    Free text: Continuous headaches and fatique. Weak. Brain fog. Making it difficult to focus. Still not able to breathe normally alway short of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2022-02-13
    Survey response — 12 months, dose 2
    MedDRA: Ageusia, Aphonia, Arthralgia, Asthenia, COVID-19, Dyspnoea, Fatigue, Headache, Malaise, Myalgia, Pain, Respiratory disorder — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Still not breathing well at all winded way too easily taste still missing, headaches, bodyaches joints and muscles, weak fatiqued lost singing voice.important loss Covid 3X got super sick from both moderna vaccines. like covid again super sick.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Arm pain radiating through chest shoulder and down arm. Shhoting pain and unable to use arm

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Pain in lower back area in the kidney area

Release 8 — 3 months, dose 2

2021-05-16

Symptoms: Continuous headaches and fatique. Weak. Brain fog. Making it difficult to focus. Still not able to breathe normally alway short of breath.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Still not breathing well at all winded way too easily taste still missing, headaches, bodyaches joints and muscles, weak fatiqued lost singing voice.important loss Covid 3X got super sick from both moderna vaccines. like covid again super sick.

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
SDAgeusia · · ✓
SDAphonia · · ✓
SDArthralgia · · ✓
SDAsthenia ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDisturbance in attention ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache ✓ ✓ ✓
SDMalaise · · ✓
SDMyalgia · · ✓
SDPain · · ✓
SDRespiratory disorder · · ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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