3FP-12456-32504
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Sinus headache — Feeling: Good · Site: Pain · HeadacheFree text: Believe it is sinus headache from weather changesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Movement disorder — Feeling: Good · Muscle or body achesFree text: Hard to raise arm over headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Muscle strain — Feeling: Good · Muscle or body achesFree text: Strain muscle in back of shoulder radiating up back of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-14
Survey response — day 14, dose 1MedDRA: Cough — Feeling: GoodFree text: Dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
-
2021-02-28
Dose 2 — Moderna
-
2021-02-28
Survey response — day 0, dose 2MedDRA: Musculoskeletal pain, Myalgia, Neck pain — Feeling: Good · Site: PainFree text: Muscle ache in injection arm radiating to neck & shoulder bladeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
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2021-03-21
Survey response — day 21, dose 2MedDRA: Dry mouth, Mobility decreased, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dry mouth for last several days & aching right arm (opposite injection arm). Could not lift arm easily to dress or reach overhead items. Probably not related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-04
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2021-04-11
Survey response — day 42, dose 2MedDRA: Back pain, Hypoaesthesia, Muscle strain, Swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Back strain, numb and swollen thigh, back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-30
- 2021-08-29
- 2022-01-20
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Believe it is sinus headache from weather changes
Systemic reaction (other): Hard to raise arm over head
Systemic reaction (other): Strain muscle in back of shoulder radiating up back of neck
Release 4 — day 14, dose 1
Symptoms: Dry cough
Release 4 — day 0, dose 2
Systemic reaction (other): Muscle ache in injection arm radiating to neck & shoulder blade
Release 6 — day 21, dose 2
Symptoms: Dry mouth for last several days & aching right arm (opposite injection arm). Could not lift arm easily to dress or reach overhead items. Probably not related.
Release 7 — day 42, dose 2
Symptoms: Back strain, numb and swollen thigh, back pain.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dry mouth | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Movement disorder | ✓ | ✓ | ✓ |
| SRO | Muscle strain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release