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427-22893-19403

2 vaccinations 3 coded responses 8 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
377 / TN
Registered
2021-05-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Dose 1 — Moderna
  2. 2021-04-19
    Dose 2 — Moderna
  3. 2021-05-08
    Registered in v-safe
  4. 2021-05-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  5. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-05-18
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Musculoskeletal chest pain, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscles in my arms hurt when I brush my teeth, or reach for a plate, pick up clothes, etc. My shoulders & ribs ache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-05-31
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-07-19
    Survey response — 3 months, dose 2
    MedDRA: Abdominal discomfort, Dysuria, Fatigue, Office visit, Pre-existing disease, Urinary incontinence — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I take medicine every day for the pain in my arms. This causes my stomach to be upset and I have problems when urinating or not being able to urinate. Sometimes can't make it to the bathroom in time. Very tired. Body is tired. · Healthcare visit (other): Go to see my doctor for these problems.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-07-19
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-07-26
  12. 2021-10-18
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  13. 2022-04-21
    Survey response — 12 months, dose 2
    MedDRA: Back pain, Urinary tract infection — 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 visit
    Free text: UTIs continue and this causes lower back pain. Back pain is present most of the time to some degree, but once in a while it's so severe that I can hardly move. It hurts standing, sitting, walking, or lying down.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-04-21
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2022-04-22
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Muscles in my arms hurt when I brush my teeth, or reach for a plate, pick up clothes, etc. My shoulders & ribs ache.

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: I take medicine every day for the pain in my arms. This causes my stomach to be upset and I have problems when urinating or not being able to urinate. Sometimes can't make it to the bathroom in time. Very tired. Body is tired.
Healthcare visit (other): Go to see my doctor for these problems.

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: UTIs continue and this causes lower back pain. Back pain is present most of the time to some degree, but once in a while it's so severe that I can hardly move. It hurts standing, sitting, walking, or lying down.

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 · · ✓
SDAbdominal discomfort · · ✓
SDArthralgia · · ✓
SDBack pain · · ✓
SDDysuria · · ✓
SDFatigue · · ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDUrinary incontinence · · ✓
SDUrinary tract infection · · ✓

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