4G3-27430-52129
3 vaccinations
9 coded responses
23 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 752 / TX
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-15
Dose 1 — Moderna
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2021-03-16
Registered in v-safe
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Joint range of motion decreased, Muscular weakness — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Weakness in arm sometimes. Cant lift or move things much.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Hypoaesthesia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Arm still occasionally weakness or numbness feeling. Trouble lifting or holding things or reaching for things stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-24
Health check-in — day 7, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
- 2021-04-05
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2021-04-12
Dose 2 — Moderna
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site paraesthesia — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: a bit of tingling around the injection site. Also oddly mirror pain in the exact same spot in my other arm too. Weird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: TinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Also tingling sensation and still the odd feeling of the same ache and soreness on Im non vaccinated arm. More than the first shot tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Soreness and tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 7, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tingling stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-03
- 2021-05-12
- 2021-05-18
- 2021-05-26
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2021-10-05
Dose 3 — Moderna
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2021-10-11
Survey response — 6 months, dose 2MedDRA: Feeling hot, Nodule, Pain in extremity, Peripheral swelling, Tenderness — Feeling: GoodFree text: Had the Booster (3rd shot of Moderna) last Tuesday (10/5/21), 2nd day, my upper arm was very sore with a small knot & was warm. 3rd- 5th day, the knot had spread to about 4" across and was very warm. Sore to the touch. Day 6, better but swollen stillMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Survey response — 12 months, dose 2MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Enlarged nodgules and/or lymph nodes in/on my thyroid and inner left elbow. · Healthcare visit (other): Ultrasounds, biopsies and bloodworkMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-26
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2022-04-27
Callback requested for03:30PM ET
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2022-04-27
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-10-05 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Weakness in arm sometimes. Cant lift or move things much.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Arm still occasionally weakness or numbness feeling. Trouble lifting or holding things or reaching for things still
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): a bit of tingling around the injection site. Also oddly mirror pain in the exact same spot in my other arm too. Weird.
Systemic reaction (other): Tingling
Systemic reaction (other): Also tingling sensation and still the odd feeling of the same ache and soreness on Im non vaccinated arm. More than the first shot too
Systemic reaction (other): Soreness and tingling
Release 7 — day 7, dose 2
Systemic reaction (other): Tingling still
Release 10 — 6 months, dose 2
Symptoms: Had the Booster (3rd shot of Moderna) last Tuesday (10/5/21), 2nd day, my upper arm was very sore with a small knot & was warm. 3rd- 5th day, the knot had spread to about 4" across and was very warm. Sore to the touch. Day 6, better but swollen still cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Enlarged nodgules and/or lymph nodes in/on my thyroid and inner left elbow.
Healthcare visit (other): Ultrasounds, biopsies and bloodwork
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 | Unevaluable event | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Nodule | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release