4BJ-10803-00065
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-24
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I often have aches and pains normally but today seemed worse than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Joint pains, Muscle or body achesFree text: The hint and muscle pains today seem like only my normal onesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Therapeutic response unexpected — Feeling: Good · Joint painsFree text: Usuà l joint pains are definitely better than before - just the idualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
- 2021-02-13
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Short period of vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Good · Site: ItchingFree text: Forgot to say Satursday that i slept 20 hours on Friday short breaks to eat, hydrTe and bathroom. Otherwise sound sleep from 11am Friday to 7 am Sat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-25
- 2021-03-04
- 2021-03-12
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Calcinosis, Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Not exactly new, I have had idiopathic neuropathy in feet and legs, and that is steadily getting worse with also development of calcinosis in my knee. That could well be a natural progression at my age, but it has progressed a lot in the past 6 mon · Healthcare visit (other): Regular doc visitsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I often have aches and pains normally but today seemed worse than usual.
Systemic reaction (other): The hint and muscle pains today seem like only my normal ones
Systemic reaction (other): Usuà l joint pains are definitely better than before - just the idual
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Short period of vertigo
Systemic reaction (other): Forgot to say Satursday that i slept 20 hours on Friday short breaks to eat, hydrTe and bathroom. Otherwise sound sleep from 11am Friday to 7 am Sat.
Release 9 — 6 months, dose 2
Symptoms: Not exactly new, I have had idiopathic neuropathy in feet and legs, and that is steadily getting worse with also development of calcinosis in my knee. That could well be a natural progression at my age, but it has progressed a lot in the past 6 mon cut off by CDC
Healthcare visit (other): Regular doc visits
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 | Calcinosis | ✓ | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Oesophageal achalasia | ○ | ○ | ○ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release