4KH-16081-69839
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 460 / IN
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Good · Site: PainFree text: Slight stomach ache in afternoon probably brought on by what I had for lunch and not the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
-
2021-07-15
Survey response — 3 months, dose 2MedDRA: Tendonitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: What appears to be tendinitis in my right (non-dominant) wrist. I do NOT believe this has ANYTHING to do with the vaccine, but I am answering the question as asked. Treating with a 10-day course of diclofenac and night use of a wrist splint.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-14
Survey response — 6 months, dose 2MedDRA: Autoimmune disorder, Inflammation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chronic inflammation in the right wrist, believed to be due to an autoimmune condition. Covid vaccine appears to be unrelated.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Slight stomach ache in afternoon probably brought on by what I had for lunch and not the vaccine.
Release 9 — 3 months, dose 2
Symptoms: What appears to be tendinitis in my right (non-dominant) wrist. I do NOT believe this has ANYTHING to do with the vaccine, but I am answering the question as asked. Treating with a 10-day course of diclofenac and night use of a wrist splint.
Release 10 — 6 months, dose 2
Symptoms: Chronic inflammation in the right wrist, believed to be due to an autoimmune condition. Covid vaccine appears to be unrelated.
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 | Autoimmune disorder | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Tendonitis | ✓ | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release