47U-14886-91771
2 vaccinations
5 coded responses
20 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 130 / NY
- Registered
- 2021-07-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-26
Registered in v-safe
-
2021-07-26
Dose 1 — Moderna
- 2021-07-26
-
2021-07-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-07-28
- 2021-07-29
- 2021-07-30
- 2021-07-31
- 2021-08-01
- 2021-08-04
- 2021-08-09
- 2021-08-16
-
2021-08-23
Survey response — day 28, dose 1MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throat when waking up. But goes away after drinking water. Although I have not used CPAP machine so this could be why.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
Dose 2 — Moderna
-
2021-08-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Pain at injection siteMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-01
- 2021-09-04
- 2021-09-11
- 2021-09-25
- 2021-10-06
-
2021-10-09
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain in elbow (same arm as shot)MedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-15
-
2021-11-27
Survey response — 3 months, dose 2MedDRA: Hypoaesthesia, Limb mass, Localised infection, Myalgia, Pain in extremity — Feeling: FairFree text: Sore arm (opposite arm of injected arm) and at times I have sore muscles in arm that I had injection in. In last month and a half I started having a growth in elbow of arm infected. Arm at times goes sore or numbMedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Survey response — 6 months, dose 2MedDRA: Hypertension — Feeling: FairFree text: High blood pressureMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-26 | Moderna | No |
| 2 | 2021-08-28 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 28, dose 1
Symptoms: Sore throat when waking up. But goes away after drinking water. Although I have not used CPAP machine so this could be why.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Pain at injection site
Release 10 — day 42, dose 2
Symptoms: Pain in elbow (same arm as shot)
Release 10 — 3 months, dose 2
Symptoms: Sore arm (opposite arm of injected arm) and at times I have sore muscles in arm that I had injection in. In last month and a half I started having a growth in elbow of arm infected. Arm at times goes sore or numb
Release 11 — 6 months, dose 2
Symptoms: High blood pressure
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 | Arthralgia | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Limb mass | · | · | ✓ |
| SD | Localised infection | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Injection site pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release