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4RZ-37282-24671

1 vaccination 3 coded responses 8 check-ins 3 free-text entries 3 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
142 / NY
Registered
2021-01-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain, Anxiety, Burning sensation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I have had a constant burning pain in my abdomen since 4 hours after I got my shot. I called Moderna and they did not care. I have been to the doctor . I have to get imaging on my abdomen . I am in alto of pain since Jan 7th . I am very scared &upset
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-24
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Poor
    Adult check-in
  6. 2021-02-04
    Health check-in — day 28, dose 1
    Feeling: Poor
    Adult check-in
  7. 2021-02-13
    Health check-in — day 35, dose 1
    Feeling: Poor
    Adult check-in
  8. 2021-02-18
    Health check-in — day 42, dose 1
    Feeling: Poor
    Adult check-in
  9. 2021-04-08
    Survey response — 3 months, dose 1
    MedDRA: Burning sensation, Musculoskeletal chest pain, Pain, Spinal pain, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Right rib area pain, burning. Spine pain. Seeing neuralogist next week. Might need MRI? Unexplainable pain...muscular pain or nerve pain?? No one knows. · Healthcare visit (other): Blood tests, hida scan, sonogram
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-08
    Report sent to call center — 3 months, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-06-07
  12. 2021-07-09
    Health check-in — 6 months, dose 1
    Feeling: Poor
    Adult check-in
  13. 2022-01-07
    Survey response — 12 months, dose 1
    MedDRA: Intercostal neuralgia, Musculoskeletal chest pain, Neuralgia, Spinal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Spine pain rib pain nerve pain- intercostal neuralgia
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-07
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2022-01-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-24

Symptoms: I have had a constant burning pain in my abdomen since 4 hours after I got my shot. I called Moderna and they did not care. I have been to the doctor . I have to get imaging on my abdomen . I am in alto of pain since Jan 7th . I am very scared &upset cut off by CDC

Release 7 — 3 months, dose 1

2021-04-08

Symptoms: Right rib area pain, burning. Spine pain. Seeing neuralogist next week. Might need MRI? Unexplainable pain...muscular pain or nerve pain?? No one knows.
Healthcare visit (other): Blood tests, hida scan, sonogram

Release 10 — 12 months, dose 1

2022-01-07

Symptoms: Spine pain rib pain nerve pain- intercostal neuralgia

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
HCVOUnevaluable event ✓ ✓ ✓
SDAbdominal pain ✓ ✓ ✓
SDAnxiety ✓ ✓ ✓
SDBurning sensation ✓ ✓ ✓
SDIntercostal neuralgia · · ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDNeuralgia · · ✓
SDPain ✓ · ✓
SDSpinal pain ✓ ✓ ✓

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