4Z7-18783-19964
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 342 / FL
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
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2021-01-29
Dose 1 — Moderna
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2021-01-29
Survey response — day 0, dose 1MedDRA: Hypoaesthesia oral, Immediate post-injection reaction — Feeling: GoodFree text: Immediately after shot a mild amount of numbness in roof of mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-31
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-05
Health check-in — day 7, dose 1Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-12
Survey response — day 14, dose 1MedDRA: Muscle spasms, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had bad muscle cramps in legs and extreme soreness on the bottom of feet for approximately 4 days but is almost gone nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
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2021-02-24
Dose 2 — Moderna
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-03
Health check-in — day 7, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-10
Survey response — day 14, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Pain in the bottom of my feet again. I had this same delayed response after the 1 st shot which lasted approximately 2-3 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 21, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My feet pain has increased planning to make appt with doctor tomorrow · Healthcare visit (other): Appt with primaryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
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2021-08-25
Survey response — 6 months, dose 2MedDRA: Surgery, Tendon disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Trouble with tendons in feet · Healthcare visit (other): Pt, bought orthopedic support and finally had surgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Immediately after shot a mild amount of numbness in roof of mouth
Release 4 — day 14, dose 1
Symptoms: I had bad muscle cramps in legs and extreme soreness on the bottom of feet for approximately 4 days but is almost gone now
Release 5 — day 14, dose 2
Symptoms: Pain in the bottom of my feet again. I had this same delayed response after the 1 st shot which lasted approximately 2-3 weeks
Release 5 — day 21, dose 2
Symptoms: My feet pain has increased planning to make appt with doctor tomorrow
Healthcare visit (other): Appt with primary
Release 9 — 6 months, dose 2
Symptoms: Trouble with tendons in feet
Healthcare visit (other): Pt, bought orthopedic support and finally had surgery
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Surgery | ✓ | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tendon disorder | ✓ | · | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release