3LH-31260-76340
4 vaccinations
3 coded responses
45 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 837 / ID
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Left shoulder painful. Feels like I fell on it or was kicked in the upper arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-22
Survey response — day 7, dose 1MedDRA: Feeling hot, Hypersensitivity, Pain, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: The pain was worst 1/21/21. Very hot. My family wanted me to go to hospital. I have allergies and was given my shot for that Tuesday. Not sure if that was a cause. If some one can get back to me but is an allergy injection the same as a vaccination? I am wondering if that caused this flair up. Thanks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-05
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-11-01
Dose 3 — Moderna
- 2021-11-14
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
-
2022-05-21
Dose 4 — Moderna
- 2022-05-22
-
2022-05-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2022-05-24
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-07-02
-
2022-08-20
Survey response — 3 months, dose 4MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Head ache, sore throat, cough body aches. Low grade fever, runny nose.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
- 2023-05-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Left shoulder painful. Feels like I fell on it or was kicked in the upper arm.
Release 2 — day 7, dose 1
Systemic reaction (other): The pain was worst 1/21/21. Very hot. My family wanted me to go to hospital. I have allergies and was given my shot for that Tuesday. Not sure if that was a cause. If some one can get back to me but is an allergy injection the same as a vaccination? I am wondering if that caused this flair up. Thanks.
Release 12 — 3 months, dose 4
Symptoms: Head ache, sore throat, cough body aches. Low grade fever, runny nose.
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release