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4LG-33418-03707

4 vaccinations 4 coded responses 18 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
221 / VA
Registered
2021-02-11
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Registered in v-safe
  2. 2021-02-11
    Dose 1 — Moderna
  3. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-18
    Survey response — day 7, dose 1
    MedDRA: Pain, Pre-existing disease, Sensitivity to weather change — Feeling: Good · Joint pains · Be unable to do your normal daily activities
    Free text: I have Arthritis all over my body my pain is probably come from it, plus damp weather
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-04
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Pain in extremity, Pre-existing disease, X-ray — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I am having severe aching in my hips and down my left leg to my ankle. My primary care Dr. Sent me for X-Rays today. I have always had Spine & Disc problem. She thinks it Sciata Nerves.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-04
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-12
    Dose 2 — Moderna
  10. 2021-05-13
    Health check-in — 3 months, dose 1
    Feeling: Poor
    Adult check-in
  11. 2021-08-12
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  13. 2022-01-23
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  14. 2022-03-12
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2022-04-13
    Dose 3 — Moderna
  16. 2022-04-29
    Survey response — day 14, dose 3
    MedDRA: Back disorder, Fall, Gait disturbance, Neck pain, Physiotherapy, Posture abnormal, Thoracic vertebral fracture, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization
    Free text: Symptoms: Due to a fall I fractured the T1 vertebrae, I messed up my upper back&neck. PT released me Wed. But I am still walking with my head drooped, which causes neck pain. · Healthcare visit (other): PT
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-04-29
    Report sent to call center — day 14, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
  18. 2022-05-02
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  19. 2022-05-04
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  20. 2022-05-11
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  21. 2022-05-15
    Dose 4 — Moderna
  22. 2022-05-18
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  23. 2022-05-25
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  24. 2022-07-13
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  25. 2022-08-14
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  26. 2022-11-13
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in
  27. 2023-05-15
    Health check-in — 12 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-12Moderna No
32022-04-13Moderna No
42022-05-15Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): No

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): I have Arthritis all over my body my pain is probably come from it, plus damp weather

Release 5 — day 21, dose 1

2021-03-04

Symptoms: I am having severe aching in my hips and down my left leg to my ankle. My primary care Dr. Sent me for X-Rays today. I have always had Spine & Disc problem. She thinks it Sciata Nerves.

Release 11 — day 14, dose 3

2022-04-29

Symptoms: Due to a fall I fractured the T1 vertebrae, I messed up my upper back&neck. PT released me Wed. But I am still walking with my head drooped, which causes neck pain.
Healthcare visit (other): PT

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

FieldPreferred term2021-092023-042024-11
HCVOPhysiotherapy · · ✓
SDArthralgia ✓ ✓ ✓
SDBack disorder · · ✓
SDFall · · ✓
SDGait disturbance · · ✓
SDNeck pain · · ✓
SDPain in extremity ✓ ✓ ✓
SDPhysiotherapy · · ✓
SDPosture abnormal · · ✓
SDPre-existing disease ✓ ✓ ✓
SDThoracic vertebral fracture · · ✓
SDUnevaluable event · · ✓
SDX-ray ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSensitivity to weather change ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release