57L-21663-84229
4 vaccinations
4 coded responses
40 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 856 / AZ
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Fatigue, Pain in extremity, Sleep disorder — Feeling: Good · Muscle or body achesFree text: Last night, at 5pm, approximately 24 hours after receiving the first vaccine shot, I felt tired and arm hurt. Went to bed earlier than usual and felt arm hurting through out the night. However, woke and arm no longer hurt and my energy was returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: I have a spot on my left leg just above ankle bone that has felt itchy since I got second shot. Nothing visible on skin. Not sure it has anything to do with shot. It is dissipating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-08
Survey response — day 28, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: My legs hurt again and my right thigh felt like it had a painful knot. I continued to do my morning and evening walks despite the pain and it is no longer painful. Pain lasted two or three days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
-
2021-12-02
Dose 3 — Moderna
-
2022-02-08
Survey response — 12 months, dose 2MedDRA: Muscle strain, Office visit, Pain in extremity, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Both of my thighs hurt and I have a strained ligament in right leg. The pain from both is subsiding with physical therapy and rest. · Healthcare visit (other): Office visit with primary care physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-24
-
2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-10-04
Dose 4 — Moderna
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-10-04 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Last night, at 5pm, approximately 24 hours after receiving the first vaccine shot, I felt tired and arm hurt. Went to bed earlier than usual and felt arm hurting through out the night. However, woke and arm no longer hurt and my energy was returned.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have a spot on my left leg just above ankle bone that has felt itchy since I got second shot. Nothing visible on skin. Not sure it has anything to do with shot. It is dissipating.
Release 5 — day 28, dose 2
Symptoms: My legs hurt again and my right thigh felt like it had a painful knot. I continued to do my morning and evening walks despite the pain and it is no longer painful. Pain lasted two or three days.
Release 11 — 12 months, dose 2
Symptoms: Both of my thighs hurt and I have a strained ligament in right leg. The pain from both is subsiding with physical therapy and rest.
Healthcare visit (other): Office visit with primary care physician
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 | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release