3TU-15364-95641
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 531 / WI
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-24
Registered in v-safe
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2021-02-24
Survey response — day 7, dose 1MedDRA: Gait disturbance, Myalgia, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Some difficulty walking at time because my pain in leg muscles and joint's is severe and it is not every dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-13
-
2021-03-17
Dose 2 — Moderna
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-03-31
Survey response — day 14, dose 2MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: I think the aches i have in my legs may be a side effect to shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 21, dose 2MedDRA: Gait disturbance, Gastric disorder, Muscle disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach issues but my big concern is the back upper muscles of both legs. It just dawned on me this last weekend that this leg trouble started two days after my first shot. I find myself have lots of difficulty walking at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
- 2021-09-15
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2022-03-20
Survey response — 12 months, dose 2MedDRA: Gait disturbance, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Still it is difficult to walk because the pain in upper back of legs, it has been a year and has not gotten betterMedDRA releases: 2024-11 · check-in free text available
-
2022-03-20
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Some difficulty walking at time because my pain in leg muscles and joint's is severe and it is not every day
Release 6 — day 14, dose 2
Symptoms: I think the aches i have in my legs may be a side effect to shot
Release 7 — day 21, dose 2
Symptoms: Stomach issues but my big concern is the back upper muscles of both legs. It just dawned on me this last weekend that this leg trouble started two days after my first shot. I find myself have lots of difficulty walking at times.
Release 11 — 12 months, dose 2
Symptoms: Still it is difficult to walk because the pain in upper back of legs, it has been a year and has not gotten better
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 | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Muscle disorder | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release