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
-
2021-03-01
Dose 1 — Moderna
-
2021-03-29
Dose 2 — Moderna
-
2021-03-30
Registered in v-safe
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: 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 professionalFree 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
-
2021-03-30
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: Under left arm bit seems a little swollen nothing major just didnt notice it beforeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Under my armpit is still a little swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Just a slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-12
- 2021-04-21
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2021-04-26
Survey response — day 28, dose 2MedDRA: Arthralgia, Neck pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Right side of my neck and right arm has been in pain for four days. I dont know whyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 35, dose 2MedDRA: 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 visitFree text: I had a injured rotator cuffMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
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)
- 2021-05-10
-
2021-06-28
Survey response — 3 months, dose 2MedDRA: Sciatica — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have a sciatic nerve in my lower right backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-28
- 2022-02-09
- 2022-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 2
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)
Systemic reaction (other): Under left arm bit seems a little swollen nothing major just didnt notice it before
Systemic reaction (other): Under my armpit is still a little swollen
Systemic reaction (other): Just a slight headache
Release 8 — day 28, dose 2
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
Symptoms: I had a injured rotator cuff
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Rotator cuff syndrome | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release