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3MT-26330-47887

2 vaccinations 4 coded responses 10 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
46-50
ZIP prefix
935 / CA
Registered
2021-04-30
Relationship
Self
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-28
    Dose 2 — Moderna
  3. 2021-04-30
    Registered in v-safe
  4. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Dizziness, Paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Dizzyness, tingling extremities, pins and needles type pain, shoulder pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-21
    Survey response — day 21, dose 2
    MedDRA: Injection site discomfort, Injection site pain — Feeling: Good · Be unable to work
    Free text: Left arm hurts like hell at night around injection site and sensitive to cell phone frequency .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-28
    Survey response — day 28, dose 2
    MedDRA: Office visit, Pain in extremity, Toothache — Feeling: Good · 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: Symptoms: My left arm aches around injection site and my bottom teeth are hurting real bad and even decaying and breaking since the 2nd dose especial whenever my cell phone is near me or rings or im indoors where theres a lot of electronic devices. Real weird. · Healthcare visit (other): 1st wellness exam and says im 100 percent healthy. 2nd i saw Dentist and they dont know whats going on but they perscribed me motrin and antibiotics.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-28
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-10-28
    Survey response — 6 months, dose 2
    MedDRA: Injection site pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: My left arm where i got the shot hurts like hell in certain places like project roomkey room 245 and in the motel room i was at and only in certain places or positions under these ceilings and certain wall areas directly under 3 squares pertruding
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-04-28
  15. 2022-04-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Dizzyness, tingling extremities, pins and needles type pain, shoulder pain.

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Left arm hurts like hell at night around injection site and sensitive to cell phone frequency .

Release 8 — day 28, dose 2

2021-05-28

Symptoms: My left arm aches around injection site and my bottom teeth are hurting real bad and even decaying and breaking since the 2nd dose especial whenever my cell phone is near me or rings or im indoors where theres a lot of electronic devices. Real weird. cut off by CDC
Healthcare visit (other): 1st wellness exam and says im 100 percent healthy. 2nd i saw Dentist and they dont know whats going on but they perscribed me motrin and antibiotics.

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: My left arm where i got the shot hurts like hell in certain places like project roomkey room 245 and in the motel room i was at and only in certain places or positions under these ceilings and certain wall areas directly under 3 squares pertruding

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
HCVOOffice visit ✓ ✓ ✓
SDInjection site discomfort ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDToothache ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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