3HY-14002-58753
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 959 / CA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
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2021-04-07
Survey response — day 0, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection siteFree text: Sore throat; also ear on injection side is stuffed up; both symptoms are mild and possibly from regular allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-11
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2021-04-14
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: Good · Joint painsFree text: Legs are itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 14, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Yesterday I had a lot of pain in both hip joints for no apparent reason. It lasted for a few hours and then went away. I suspect it may have been from the vaccine because the day I received the vaccine I had a lot of pain in all my joints.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-07
-
2021-05-10
Dose 2 — Moderna
- 2021-05-14
- 2021-05-19
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-15
- 2021-06-21
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2021-08-10
Survey response — 3 months, dose 2MedDRA: Uterine cervix ulcer — Feeling: GoodFree text: Ulcerations on cervixMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-08
Survey response — 6 months, dose 2MedDRA: Hypertension, Hypoaesthesia, Paraesthesia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed w/ borderline high blood pressure. Left foot has felt numb with pins and needles for 4 days. Planning to call the doctor to make an appointment to figure out what's going on. · Healthcare visit (other): Nothing yet. Plan to call my doctor to make an appointment or see if I should go to Urgent CareMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-10 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Sore throat; also ear on injection side is stuffed up; both symptoms are mild and possibly from regular allergies.
Release 7 — day 7, dose 1
Systemic reaction (other): Legs are itchy
Release 7 — day 14, dose 1
Symptoms: Yesterday I had a lot of pain in both hip joints for no apparent reason. It lasted for a few hours and then went away. I suspect it may have been from the vaccine because the day I received the vaccine I had a lot of pain in all my joints.
Release 9 — 3 months, dose 2
Symptoms: Ulcerations on cervix
Release 10 — 6 months, dose 2
Symptoms: Diagnosed w/ borderline high blood pressure. Left foot has felt numb with pins and needles for 4 days. Planning to call the doctor to make an appointment to figure out what's going on.
Healthcare visit (other): Nothing yet. Plan to call my doctor to make an appointment or see if I should go to Urgent Care
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Uterine cervix ulcer | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release