2UT-33187-19804
4 vaccinations
7 coded responses
49 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 776 / TX
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-06
Dose 2 — Moderna
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-28
- 2021-05-04
- 2021-05-13
- 2021-05-20
-
2021-07-06
Survey response — 3 months, dose 2MedDRA: Joint swelling, Pain in extremity, Synovial cyst — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: A 3 cm lump near the wrist of the arm I received the injection. A doctor said it was a ganglion cyst. It was excruciatingly painful throughout the entire arm for about 14 days. Theres no pain now but the cyst remains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-06
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-09
-
2021-10-06
Survey response — 6 months, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Pretty intense pain in the arm that received the injection. I otherwise feel fine, and mention this in case others have similar symptoms. My suspicion is that this is arthritis and not a side effect of the vaccine. I have yet to see a doctor.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-04
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-28
- 2022-04-27
-
2022-07-27
Dose 4 — Moderna
-
2022-07-28
Survey response — days 1–6 daily, dose 4MedDRA: Neuropathy peripheral, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Finger tingling/neuropathyMedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Lymph node pain, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pain and swelling in the armpit/lymph nodes of the injection armMedDRA releases: 2024-11 · check-in free text available
-
2022-07-30
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: Swelling in armpit/lymph nodes of injection arm.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-31
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · Joint painsFree text: Swelling in armpit/lymph nodes of injection arm. Less severe than previous day.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-01
- 2022-08-02
- 2022-08-03
-
2022-08-10
Survey response — day 14, dose 4MedDRA: Cough, Headache, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever, headache, cough, body achesMedDRA releases: 2024-11 · check-in free text available
- 2022-08-17
- 2022-08-26
- 2022-08-31
- 2022-09-09
- 2022-10-26
- 2023-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-07-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: A 3 cm lump near the wrist of the arm I received the injection. A doctor said it was a ganglion cyst. It was excruciatingly painful throughout the entire arm for about 14 days. Theres no pain now but the cyst remains.
Release 10 — 6 months, dose 2
Symptoms: Pretty intense pain in the arm that received the injection. I otherwise feel fine, and mention this in case others have similar symptoms. My suspicion is that this is arthritis and not a side effect of the vaccine. I have yet to see a doctor.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Finger tingling/neuropathy
Systemic reaction (other): Pain and swelling in the armpit/lymph nodes of the injection arm
Systemic reaction (other): Swelling in armpit/lymph nodes of injection arm.
Systemic reaction (other): Swelling in armpit/lymph nodes of injection arm. Less severe than previous day.
Release 12 — day 14, dose 4
Symptoms: Fever, headache, cough, body aches
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Synovial cyst | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Neuropathy peripheral | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release