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2L6-24694-04974

4 vaccinations 9 coded responses 40 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
925 / CA
Registered
2021-02-20
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Dose 1 — Moderna
  2. 2021-02-20
    Registered in v-safe
  3. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injected limb mobility decreased, Insomnia, Pain in extremity, Somnolence — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lateral movement of injection arm difficult and painful. Difficulty with sleep. Napped all day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: The pain in the injection arm lasted almost 48 hours. The body aches were mild in comparison and lasted about 45-46 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Injection site pain was minor and went away after 72 hours from time of injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Decreased appetite — Feeling: Good
    Free text: I think I had a slight decrease in appetite this entire time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-19
    Dose 2 — Moderna
  13. 2021-03-19
    Survey response — day 0, dose 2
    MedDRA: Arthralgia, Musculoskeletal pain, Neck pain — Feeling: Good · Site: Pain
    Free text: There was minor neck, shoulder, shoulder blade pain that went away after a few hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Nausea, Pain, Skin sensitisation, Vertigo — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Nausea was very mild and momentary. Slight sense of vertigo lasting a few seconds. Upper and lower back ache. Skin sensitivity with the body aches ( clothes fell rough).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-11
    Dose 3 — Moderna
  29. 2022-03-19
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-05-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-09-18
    Dose 4 — Moderna
    Co-administered: Flu
  32. 2022-09-18
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-09-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Arthralgia, Musculoskeletal stiffness, Sleep disorder — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Free text: Frequent waking last night from the discomfort of the pain in my shoulder. Shot arm feels stiff.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-09-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain
    Free text: The pain at the injection site was less than yesterday. I don't feel achy all over today compared to yesterday.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-09-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-09-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-09-25
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-10-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-10-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-10-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-10-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-12-18
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2023-03-19
    Survey response — 6 months, dose 4
    MedDRA: Chills, Fatigue, Insomnia, Pruritus, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  46. 2023-03-19
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  47. 2023-03-20
  48. 2023-03-24
  49. 2023-03-29
  50. 2023-03-29
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-19Moderna
32021-11-11Moderna No
42022-09-18Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Lateral movement of injection arm difficult and painful. Difficulty with sleep. Napped all day.

2021-02-21

Systemic reaction (other): The pain in the injection arm lasted almost 48 hours. The body aches were mild in comparison and lasted about 45-46 hours.

2021-02-22

Systemic reaction (other): Injection site pain was minor and went away after 72 hours from time of injection.

2021-02-23

Systemic reaction (other): I think I had a slight decrease in appetite this entire time.

Release 5 — day 0, dose 2

2021-03-19

Systemic reaction (other): There was minor neck, shoulder, shoulder blade pain that went away after a few hours.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Nausea was very mild and momentary. Slight sense of vertigo lasting a few seconds. Upper and lower back ache. Skin sensitivity with the body aches ( clothes fell rough).

Release 12 — days 1–6 daily, dose 4

2022-09-19

Systemic reaction (other): Frequent waking last night from the discomfort of the pain in my shoulder. Shot arm feels stiff.

2022-09-20

Systemic reaction (other): The pain at the injection site was less than yesterday. I don't feel achy all over today compared to yesterday.

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
SDChills · · ✓
SDFatigue · · ✓
SDInsomnia · · ✓
SDPruritus · · ✓
SDViral infection · · ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SROMusculoskeletal stiffness · · ✓
SRONausea ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSkin sensitisation ✓ ✓ ✓
SROSleep disorder · · ✓
SROSomnolence ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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