2QN-29580-36185
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 917 / CA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 2 — Moderna
-
2021-03-08
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-23
Survey response — day 14, dose 2MedDRA: Neck pain — Feeling: FairFree text: Neck pain on left side, same arm as vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — day 21, dose 2MedDRA: Neck pain — Feeling: FairFree text: Pain on left side of neck, same side I was vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 28, dose 2MedDRA: Asthenia, Myalgia — Feeling: FairFree text: Neck muscle on right side where vaccinated still sore, muscle on right arm still sore, dont have the strength I hadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-19
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2021-06-07
Survey response — 3 months, dose 2MedDRA: Loss of personal independence in daily activities, Pain, Pain in extremity — Feeling: FairFree text: Right arm still hurts if I stretch/extend it or lay on it. I am right handed, so it creates difficulty doing thingsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-06
-
2022-03-08
Survey response — 12 months, dose 2MedDRA: Cough, Headache, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headaches, slight cough for three mos., Head/nasal congestion for three monthsMedDRA releases: 2024-11 · check-in free text available
-
2022-03-08
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Sore arm
Release 6 — day 14, dose 2
Symptoms: Neck pain on left side, same arm as vaccinated
Release 6 — day 21, dose 2
Symptoms: Pain on left side of neck, same side I was vaccinated
Release 6 — day 28, dose 2
Symptoms: Neck muscle on right side where vaccinated still sore, muscle on right arm still sore, dont have the strength I had
Release 8 — 3 months, dose 2
Symptoms: Right arm still hurts if I stretch/extend it or lay on it. I am right handed, so it creates difficulty doing things
Release 11 — 12 months, dose 2
Symptoms: Headaches, slight cough for three mos., Head/nasal congestion for three months
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release