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
-
2021-03-22
Dose 1 — Moderna
-
2021-04-19
Dose 2 — Moderna
-
2021-05-08
Registered in v-safe
- 2021-05-08
- 2021-05-12
-
2021-05-18
Survey response — day 28, dose 2MedDRA: Arthralgia, Musculoskeletal chest pain, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-05-26
- 2021-05-31
-
2021-07-19
Survey response — 3 months, dose 2MedDRA: 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 professionalFree 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
-
2021-07-19
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
- 2021-10-18
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
-
2022-04-21
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)
-
2022-04-22
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 28, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Dysuria | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Urinary incontinence | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release