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447-26681-53685

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
151 / PA
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-13
    Registered in v-safe
  3. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Headache, Lymphadenopathy, Myalgia, Nasal congestion, Pain in extremity, Paranasal sinus discomfort, Paranasal sinus hypersecretion, Pyrexia, Throat irritation — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Day 1 slight sore arm Day 2 one hive on opposite arm,Sore arm,Slight headache, sinus pressure, One nostril clogged and drainage, Irritated throat and ear, Sore lymph node underarm area same arm as shot. Muscle ache in shoulders and neck Slight Headache 101.8 fever Chills Day 3 7am temperature of 100.0 took Advil 7 pm temp 100.0 Day 4 no fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tinnitus — Feeling: Good · Site: Pain
    Free text: Ears ringing or chirping sounds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-10
    Dose 2 — Moderna
  11. 2021-03-10
    Survey response — day 0, dose 2
    MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever · Chills · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Chest tightness like an anxiety feeling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-10
    Report sent to call center — day 0, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Chest tightness and Swollen lymph node under vaccinated arm same symptoms as my first shot. FYI I had covid in November of 2020
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Hordeolum — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Free text: Stye on RT eye , chest tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  19. 2021-03-17
    Survey response — day 7, dose 2
    MedDRA: Chest discomfort — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Chest tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-06-09
    Survey response — 3 months, dose 2
    MedDRA: Tinnitus — Feeling: Fair
    Free text: Tinnitus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-09-08
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Worse joint and muscle pain
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-09-08
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-09
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2022-03-12
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Day 1 slight sore arm Day 2 one hive on opposite arm,Sore arm,Slight headache, sinus pressure, One nostril clogged and drainage, Irritated throat and ear, Sore lymph node underarm area same arm as shot. Muscle ache in shoulders and neck Slight Headache 101.8 fever Chills Day 3 7am temperature of 100.0 took Advil 7 pm temp 100.0 Day 4 no fever

2021-02-16

Systemic reaction (other): Ears ringing or chirping sounds

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): Chest tightness like an anxiety feeling

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Chest tightness and Swollen lymph node under vaccinated arm same symptoms as my first shot. FYI I had covid in November of 2020

2021-03-13

Systemic reaction (other): Stye on RT eye , chest tightness

Release 5 — day 7, dose 2

2021-03-17

Systemic reaction (other): Chest tightness

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Tinnitus

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Worse joint and muscle pain

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
SDArthralgia · · ✓
SDMyalgia · · ✓
SDTinnitus ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHordeolum ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROParanasal sinus hypersecretion ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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