388-10769-17631
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 141 / NY
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Moderna
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2021-03-03
Survey response — day 0, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body achesFree text: Sharp pain from elbow to middle fingers of injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Sharp sporadic electric like pain from elbow to middle fingers and hand to injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-10
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2021-03-17
Survey response — day 14, dose 1MedDRA: Musculoskeletal stiffness, Oropharyngeal pain — Feeling: FairFree text: Sore throat stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
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2021-03-31
Dose 2 — Moderna
- 2021-03-31
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction, Paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, NauseaFree text: An tingling sharp pain on injection arm from elbow to two middle fingers on and offMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Electric shock sensation, Pain in extremity — Feeling: Fair · Headache, Fatigue or tirednessFree text: Pain to hand on injection arm feels like electric shocksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Insomnia, Neck pain — Feeling: Fair · HeadacheFree text: Neck pain up and around head unable to sleep from itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
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2021-05-12
Survey response — day 42, dose 2MedDRA: Arthralgia, Migraine, Musculoskeletal discomfort — Feeling: PoorFree text: Joint pain in elbows and knees and migraines that wake me up and neck discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Aches in knees and right elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Sharp pain from elbow to middle fingers of injection arm
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sharp sporadic electric like pain from elbow to middle fingers and hand to injection arm
Release 5 — day 14, dose 1
Symptoms: Sore throat stiff neck
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): An tingling sharp pain on injection arm from elbow to two middle fingers on and off
Systemic reaction (other): Pain to hand on injection arm feels like electric shocks
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Neck pain up and around head unable to sleep from it
Release 8 — day 42, dose 2
Symptoms: Joint pain in elbows and knees and migraines that wake me up and neck discomfort
Release 9 — 3 months, dose 2
Symptoms: Aches in knees and right elbow
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Electric shock sensation | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release