4UY-23812-11877
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 922 / CA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
- 2021-02-13
- 2021-02-20
-
2021-02-21
Dose 2 — Moderna
- 2021-02-27
-
2021-03-02
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-15
Survey response — day 21, dose 2MedDRA: Fall, Muscle tightness, Muscular weakness, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I keep having trouble with my muscles. I have been playing a new sport but had played for 2 months before my shot and ever since I have had muscle weakness and tightness. Fell yesterday. Could be the new sport but much worse since 2nd shot. · Healthcare visit (other): Physical therapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-28
Survey response — day 35, dose 2MedDRA: Myalgia — 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, Outpatient clinic or urgent care clinic visitFree text: I have been having trouble with my muscles since my second shot. Not sure if it is related but I did have intense muscle pain after my vaccine. Have strained muscles; may be due to activity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-02-23
Survey response — 12 months, dose 2MedDRA: Lung carcinoma cell type unspecified stage I, Mass excision, Pulmonary mass, Pulmonary resection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I had a nodule and segment of my lung removed which was stage 1A cancer.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-23
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-02-24
-
2022-02-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-21 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 5 — day 21, dose 2
Symptoms: I keep having trouble with my muscles. I have been playing a new sport but had played for 2 months before my shot and ever since I have had muscle weakness and tightness. Fell yesterday. Could be the new sport but much worse since 2nd shot.
Healthcare visit (other): Physical therapy
Release 6 — day 35, dose 2
Symptoms: I have been having trouble with my muscles since my second shot. Not sure if it is related but I did have intense muscle pain after my vaccine. Have strained muscles; may be due to activity.
Release 11 — 12 months, dose 2
Symptoms: I had a nodule and segment of my lung removed which was stage 1A cancer.
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 | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Lung carcinoma cell type unspecified stage I | · | · | ✓ |
| SD | Mass excision | · | · | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pulmonary mass | · | · | ✓ |
| SD | Pulmonary resection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release