4EP-68033-54271
4 vaccinations
15 coded responses
54 check-ins
15 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 717 / AR
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
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2021-02-10
Dose 1 — Moderna
- 2021-02-10
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Mainly Tender in arm around the injection site. Sort of like a bruise that you're recovering fromMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Muscle around injection site still tender no real problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
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2021-02-24
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain — Feeling: GoodFree text: Overall Good. Injection site seems to have developed a red rash. First day of rash slightly tender. After that, just a rash about as big as a silver dollar. Don't know if that's because of the shot or or just coincidence.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-10
Dose 2 — Moderna
- 2021-03-10
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: As with round 1, day of shot no pain. Day2 tender in arm muscle near injection site as if a non showing bruise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: As with round 1, injection day no pain. Day1 & 2 arm close to injection site tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Injection site still tender but less than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
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2021-06-11
Survey response — 3 months, dose 2MedDRA: Deafness, Office visit, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ringing in the ears and mild hearing loss. I think unrelated to the vaccine. It is jusr that i became aware of it and it is getting worse. Dr. Seems to think it is combination of age and noise factors. · Healthcare visit (other): Office visit my GP who referred me to ENT dr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
- 2021-09-08
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2021-10-26
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Injection site induration, Injection site mass, Injection site pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessFree text: Shot area is Tinder and has a hard lumpMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain — Feeling: Good · Site: Redness · Headache, Fatigue or tirednessFree text: Injection area redness has expanded 2 about a 3in diameter. The hard knot in the middle of the injection area has gone down. And the tenderness is also reduced.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Erythema — Feeling: Good · Site: RednessFree text: Redness is still there but is fadingMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-03
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2021-11-09
Survey response — day 14, dose 3MedDRA: Arthritis, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Not related to shot. Arthritis pinching L5 to right hip. · Healthcare visit (other): Injection scheduled 11/11/21MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-10
- 2021-11-11
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2021-11-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-16
- 2021-11-23
- 2021-11-30
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2021-12-07
Survey response — day 42, dose 3MedDRA: Arthritis, Exposure to SARS-CoV-2, Nerve compression, SARS-CoV-2 test negative — Feeling: FairFree text: Pinched nerve due to arthritis. Fixing to have injection Thursday what should hopefully take care of that. Meanwhile, was exposed to someone who had covid. Took the send off test which came back negative! Thank you 3 rounds moderna!MedDRA releases: 2024-11 · check-in free text available
- 2022-01-25
- 2022-05-02
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2022-06-06
Dose 4 — Moderna
- 2022-06-06
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2022-06-07
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Muscle or body achesFree text: Has with previous injections, site of injection is Tinder and has mild soreness.MedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: As before, injection site is tender and mildly sore.MedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Injection site still tender but less so than yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-11
- 2022-06-12
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-07-04
- 2022-07-11
- 2022-07-18
- 2022-09-05
- 2022-12-05
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-06-06 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mainly Tender in arm around the injection site. Sort of like a bruise that you're recovering from
Systemic reaction (other): Muscle around injection site still tender no real problems
Release 4 — day 14, dose 1
Symptoms: Overall Good. Injection site seems to have developed a red rash. First day of rash slightly tender. After that, just a rash about as big as a silver dollar. Don't know if that's because of the shot or or just coincidence.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): As with round 1, day of shot no pain. Day2 tender in arm muscle near injection site as if a non showing bruise.
Systemic reaction (other): As with round 1, injection day no pain. Day1 & 2 arm close to injection site tender
Systemic reaction (other): Injection site still tender but less than yesterday.
Release 9 — 3 months, dose 2
Symptoms: Ringing in the ears and mild hearing loss. I think unrelated to the vaccine. It is jusr that i became aware of it and it is getting worse. Dr. Seems to think it is combination of age and noise factors.
Healthcare visit (other): Office visit my GP who referred me to ENT dr.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Shot area is Tinder and has a hard lump
Systemic reaction (other): Injection area redness has expanded 2 about a 3in diameter. The hard knot in the middle of the injection area has gone down. And the tenderness is also reduced.
Systemic reaction (other): Redness is still there but is fading
Release 10 — day 14, dose 3
Symptoms: Not related to shot. Arthritis pinching L5 to right hip.
Healthcare visit (other): Injection scheduled 11/11/21
Release 10 — day 42, dose 3
Symptoms: Pinched nerve due to arthritis. Fixing to have injection Thursday what should hopefully take care of that. Meanwhile, was exposed to someone who had covid. Took the send off test which came back negative! Thank you 3 rounds moderna!
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Has with previous injections, site of injection is Tinder and has mild soreness.
Systemic reaction (other): As before, injection site is tender and mildly sore.
Systemic reaction (other): Injection site still tender but less so than yesterday.
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Deafness | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site nodule | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release