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56N-16417-20103

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
890 / NV
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Dose 1 — Moderna
  2. 2021-03-29
    Dose 2 — Moderna
  3. 2021-03-30
    Registered in v-safe
  4. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Unevaluable event — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Just felt really awful but starting to feel better now · Healthcare visit (other): The drs office wouldnt help me because they said they didnt issue the vaccine and I had to call the people who issued the vaccine and I didnt have a phone number for them at the (b)(6)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-30
    Report sent to call center — days 1–6 daily, dose 2
    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)
  6. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Pain
    Free text: Under left arm bit seems a little swollen nothing major just didnt notice it before
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: Under my armpit is still a little swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Just a slight headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-26
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Neck pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Right side of my neck and right arm has been in pain for four days. I dont know why
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-03
    Survey response — day 35, dose 2
    MedDRA: Rotator cuff syndrome — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I had a injured rotator cuff
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-03
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-28
    Survey response — 3 months, dose 2
    MedDRA: Sciatica — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have a sciatic nerve in my lower right back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-02-09
  19. 2022-03-31
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna
22021-03-29Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Just felt really awful but starting to feel better now
Healthcare visit (other): The drs office wouldnt help me because they said they didnt issue the vaccine and I had to call the people who issued the vaccine and I didnt have a phone number for them at the (b)(6)
redacted (b)(6)

2021-04-01

Systemic reaction (other): Under left arm bit seems a little swollen nothing major just didnt notice it before

2021-04-03

Systemic reaction (other): Under my armpit is still a little swollen

2021-04-04

Systemic reaction (other): Just a slight headache

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Right side of my neck and right arm has been in pain for four days. I dont know why

Release 8 — day 35, dose 2

2021-05-03

Symptoms: I had a injured rotator cuff

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: I have a sciatic nerve in my lower right back

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 ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDRotator cuff syndrome ✓ ✓ ✓
SDSciatica ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓

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