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36F-23715-04437

4 vaccinations 19 coded responses 26 check-ins 18 free-text entries 5 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
395 / MS
Registered
2021-01-26
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-01-26
    Registered in v-safe
  3. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Spasmodic back muscle/leg severe cramps cannot stand or walk since 22nd January 2021 · Healthcare visit (other): Not had appointment yet, is possible tomorrow if available.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-26
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back disorder, Gait inability, Mobility decreased — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Can't walk · Healthcare visit (other): Doctor scheduled televisit wants Friday in-person appointment for my back and ambulatory problems.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-27
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-01-28
    Survey response — day 7, dose 1
    MedDRA: Fall, Gait disturbance, Unevaluable event — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): I still can't walk without sticks I still fall down multiple times,and have doctor appointment tomorrow morning at 10:15 a.m. · Healthcare visit (other): Waiting for my doctor Friday 10:15 a.m. I fell down and missed the phone call at 4:30 p.m.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-28
    Report sent to call center — day 7, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-06
    Survey response — day 14, dose 1
    MedDRA: Fall, Gait inability, Muscle spasms, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Back spasms, unable to walk without a cane, falls, excessive pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-06
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-02-19
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Gait disturbance, Inflammation, Intervertebral disc degeneration, Pain in extremity, Self-medication, Spinal pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: I'm taking the limit of over the counter pain and inflammation medicine. I still cannot walk correctly. I have constant pain in inflamed leg tendons and left and right hip joints and my lower spine. My spinal discs are degenerative and inflamed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-25
    Survey response — day 35, dose 1
    MedDRA: Arthralgia, Back pain, Fall, Gait inability, Muscle spasms, Pain, Pain in extremity, Tendon discomfort — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: I am in constant pain and have trouble walking and have fallen twice. My back, legs, and expressedly now my left hip are constantly aching and my leg tendons are all tight and I have muscle spasms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-03
    Dose 2 — Moderna
  15. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gait disturbance, Muscle spasms — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I can't do all, again. After 1st shot I can't walk. Now my hip and left leg are spasming. I had to get steroid shot before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I was able to walk today. Each step hurts very much..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-12
    Survey response — day 7, dose 2
    MedDRA: Gait disturbance — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Can't walk right.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Poor
    Adult check-in
  19. 2021-03-24
    Survey response — day 21, dose 2
    MedDRA: Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Unable to walk without pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-24
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-09
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Back pain, Gait disturbance, Impaired work ability, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: I have back, leg and hip pain and cannot work, I can hardly walk, it gets better then worse odd days good then a bad bad day. still better than dying from Covid-19. Thank You.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-15
    Survey response — day 42, dose 2
    MedDRA: Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-02
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Gait disturbance, Inflammation, Muscle spasms — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Difficulty walking and lower spine/back inflammation. Severe cramping and joint pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-07-09
  26. 2021-07-12
  27. 2021-07-12
  28. 2021-07-12
  29. 2021-07-12
  30. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  31. 2021-11-22
    Dose 3 — Moderna
  32. 2022-03-05
    Survey response — 12 months, dose 2
    MedDRA: Malaise, SARS-CoV-2 test positive, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities
    Free text: False negative, therefore positive Covid-19 test, exhibited symptoms for approximately 3-5 days. Uncertain of primary exposure contact due to un-co-operative positive Covid-19 SARS2 cases in family with contact and aversion to vaccine on their part.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-09-29
    Dose 4 — Moderna
  34. 2022-10-11
    Health check-in — day 7, dose 4
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  35. 2022-10-13
    Survey response — day 14, dose 4
    MedDRA: Arthritis, Gait disturbance — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I can't walk well. I have inflammation of joints.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-10-20
    Survey response — day 21, dose 4
    MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Pain in joints.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-10-29
    Health check-in — day 28, dose 4
    Feeling: Poor
    Adult check-in
  38. 2022-11-03
    Survey response — day 35, dose 4
    MedDRA: Gait disturbance, Muscular weakness — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Severely difficult to walk and lift anything
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-11-10
    Survey response — day 42, dose 4
    MedDRA: Arthralgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: shoulder hurts
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-12-29
    Health check-in — 3 months, dose 4
    Feeling: Poor
    Adult check-in
  41. 2023-03-30
    Survey response — 6 months, dose 4
    MedDRA: Pain — Feeling: Poor · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-03-03Moderna
32021-11-22Moderna No
42022-09-29Moderna No

Call center

5 call center cases

5 unsuccessful

5 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Spasmodic back muscle/leg severe cramps cannot stand or walk since 22nd January 2021
Healthcare visit (other): Not had appointment yet, is possible tomorrow if available.

2021-01-27

Systemic reaction (other): Can't walk
Healthcare visit (other): Doctor scheduled televisit wants Friday in-person appointment for my back and ambulatory problems.

Release 2 — day 7, dose 1

2021-01-28

Systemic reaction (other): I still can't walk without sticks I still fall down multiple times,and have doctor appointment tomorrow morning at 10:15 a.m.
Healthcare visit (other): Waiting for my doctor Friday 10:15 a.m. I fell down and missed the phone call at 4:30 p.m.

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Back spasms, unable to walk without a cane, falls, excessive pain.

Release 4 — day 28, dose 1

2021-02-19

Symptoms: I'm taking the limit of over the counter pain and inflammation medicine. I still cannot walk correctly. I have constant pain in inflamed leg tendons and left and right hip joints and my lower spine. My spinal discs are degenerative and inflamed.

Release 4 — day 35, dose 1

2021-02-25

Symptoms: I am in constant pain and have trouble walking and have fallen twice. My back, legs, and expressedly now my left hip are constantly aching and my leg tendons are all tight and I have muscle spasms.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): I can't do all, again. After 1st shot I can't walk. Now my hip and left leg are spasming. I had to get steroid shot before.

2021-03-05

Systemic reaction (other): I was able to walk today. Each step hurts very much..

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): Can't walk right.

Release 6 — day 21, dose 2

2021-03-24

Symptoms: Unable to walk without pain.

Release 7 — day 35, dose 2

2021-04-09

Symptoms: I have back, leg and hip pain and cannot work, I can hardly walk, it gets better then worse odd days good then a bad bad day. still better than dying from Covid-19. Thank You.

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Pain

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Difficulty walking and lower spine/back inflammation. Severe cramping and joint pain.

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: False negative, therefore positive Covid-19 test, exhibited symptoms for approximately 3-5 days. Uncertain of primary exposure contact due to un-co-operative positive Covid-19 SARS2 cases in family with contact and aversion to vaccine on their part. cut off by CDC

Release 12 — day 14, dose 4

2022-10-13

Symptoms: I can't walk well. I have inflammation of joints.

Release 12 — day 21, dose 4

2022-10-20

Symptoms: Pain in joints.

Release 12 — day 35, dose 4

2022-11-03

Symptoms: Severely difficult to walk and lift anything

Release 12 — day 42, dose 4

2022-11-10

Symptoms: shoulder hurts

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
HCVOBack disorder ✓ ✓ ✓
HCVOFall ✓ ✓ ✓
HCVOMobility decreased ✓ ✓ ✓
HCVONo adverse event ✓ ✓ ✓
HCVOUnevaluable event ○ ✓ ○
SDArthralgia ✓ ✓ ✓
SDArthritis · · ✓
SDBack pain ✓ ✓ ✓
SDFall ✓ ✓ ✓
SDGait disturbance ✓ ✓ ✓
SDGait inability ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDInflammation ✓ ✓ ✓
SDIntervertebral disc degeneration ✓ ✓ ✓
SDMalaise · · ✓
SDMuscle spasms ✓ ✓ ✓
SDMuscular weakness · · ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SDSelf-medication ✓ ✓ ✓
SDSpinal pain ✓ ✓ ✓
SDTendon discomfort ✓ ✓ ✓
SDUnevaluable event · · ✓
SROFall ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROGait inability ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓

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

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