5AE-10956-24743
4 vaccinations
20 coded responses
45 check-ins
19 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 496 / MI
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-09
Dose 1 — Moderna
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2021-02-10
Registered in v-safe
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Muscle or body achesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
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2021-02-23
Survey response — day 14, dose 1MedDRA: Arthralgia, Blood pressure increased, Myalgia — Feeling: GoodFree text: Muscle and joint pain which may not be related to the Vaccine and an somewhat elevated blood pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 21, dose 1MedDRA: Arthralgia, Pre-existing disease — Feeling: GoodFree text: I am having pain in both wrists that I havent had before. I maybe new arthritis pain but it is new. It has made some tasks harder but hasnt kept me from doing normal activities or tasks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Dose 2 — Moderna
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2021-03-09
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-11
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: ItchingFree text: LightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: I have had some worsening joint pain but think that is likely not related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-06-08
Survey response — 3 months, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: I have been experiencing some sharp pains in my legs and wrists that go away quickly but sometimes happen more than once in a short period of time. I think this is most likely just a new progression of arthritis and not related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-07
Survey response — 6 months, dose 2MedDRA: Carpal tunnel syndrome, Office visit, Pain, Physiotherapy, Rotator cuff syndrome, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I strained my rotator cuff and am in Physical therapy due to continuing pain especially at night. · Healthcare visit (other): Office visit with my primary physician re shoulder wrist and Carpel Tunnel issues. I was referred for a Carpal Tunnel test and had that appointment. I am also referred to hand wrist surgeon but do not have an appointment yet.MedDRA releases: 2024-11 · check-in free text available
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2021-09-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-14
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2021-10-28
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Poor quality sleep, Pre-existing disease, Tenderness — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have been having physical therapy for shoulder pain prior to my shot. I didn't sleep well last last night because of this issue. My shot was in the other arm and there has just been a little tenderness there. My temperature is normally 97.6 .MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body achesFree text: My symptoms reported above are most likely related to my chronic issues with my shouldersMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Condition aggravated, Myalgia, Physiotherapy, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: My joint and muscle pain is most likely just because of a the ongoing issue I have been having with my shoulder. I am doing physical therapy for this. I did have a flare up right after I had my booster but I don't think they are related.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Myalgia, Pain, Physiotherapy — Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My pain and muscle aches are most likely related to current chronic pain in my shoulder the last several months. I am doing physical therapy for that issue,MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body achesFree text: I believe the above symptoms are due to chronic issuesMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Myalgia — Feeling: Good · Joint pains, Muscle or body achesFree text: The joint and muscle pain and aches are probably not related to the vaccination.MedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — day 7, dose 3MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body achesFree text: My symptoms above are probably due to chronic pain from arthritis and Rotator Cuff issuesMedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-12
- 2021-11-18
- 2021-11-25
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2021-12-02
Survey response — day 35, dose 3MedDRA: Diarrhoea — Feeling: GoodFree text: I had some diarrhea for two days. I believe it was restaurant food that wasn't up to standard.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
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2022-01-28
Survey response — 3 months, dose 3MedDRA: Muscle strain — Feeling: FairFree text: I have re strained my shoulder this evening. This is certainly not related to having the vaccine booster.MedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Dose 4 — Moderna
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2022-04-19
Survey response — day 14, dose 4MedDRA: Arthralgia, Myalgia, Office visit, Pain in extremity, Skin ulcer — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had increasing pain with an ulcer in my toe and have seen a podiatrist. I also have been having more joint pain and muscle pain. I do not think this is related to my vaccine shots · Healthcare visit (other): My family doctor referred me to a podiatristMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-21
- 2022-04-25
- 2022-05-04
- 2022-05-09
- 2022-05-16
- 2022-07-04
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2022-10-03
Survey response — 6 months, dose 4MedDRA: Body temperature increased, Exposure to SARS-CoV-2, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test negative, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My husband has tested positive for COVID on 10/2 and although I have had two negative tests 10/2 and 10/3 I do have some minor symptoms: increased nasal discharge , some sinus pressure and a 99.2 temp. On 10/1 I had 3 small fist episodes of Vertigo.MedDRA releases: 2024-11 · check-in free text available
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2023-04-05
Survey response — 12 months, dose 4MedDRA: Arthralgia, Gastrointestinal pain, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-04-05
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-06
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
4 call center cases
1 successful · 3 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 4 — day 14, dose 1
Symptoms: Muscle and joint pain which may not be related to the Vaccine and an somewhat elevated blood pressure.
Release 4 — day 21, dose 1
Symptoms: I am having pain in both wrists that I havent had before. I maybe new arthritis pain but it is new. It has made some tasks harder but hasnt kept me from doing normal activities or tasks.
Release 5 — day 0, dose 2
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheadedness
Release 7 — day 35, dose 2
Symptoms: I have had some worsening joint pain but think that is likely not related to the vaccine.
Release 8 — 3 months, dose 2
Symptoms: I have been experiencing some sharp pains in my legs and wrists that go away quickly but sometimes happen more than once in a short period of time. I think this is most likely just a new progression of arthritis and not related to the vaccine.
Release 9 — 6 months, dose 2
Symptoms: I strained my rotator cuff and am in Physical therapy due to continuing pain especially at night.
Healthcare visit (other): Office visit with my primary physician re shoulder wrist and Carpel Tunnel issues. I was referred for a Carpal Tunnel test and had that appointment. I am also referred to hand wrist surgeon but do not have an appointment yet.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have been having physical therapy for shoulder pain prior to my shot. I didn't sleep well last last night because of this issue. My shot was in the other arm and there has just been a little tenderness there. My temperature is normally 97.6 .
Systemic reaction (other): My symptoms reported above are most likely related to my chronic issues with my shoulders
Systemic reaction (other): My joint and muscle pain is most likely just because of a the ongoing issue I have been having with my shoulder. I am doing physical therapy for this. I did have a flare up right after I had my booster but I don't think they are related.
Systemic reaction (other): My pain and muscle aches are most likely related to current chronic pain in my shoulder the last several months. I am doing physical therapy for that issue,
Systemic reaction (other): I believe the above symptoms are due to chronic issues
Systemic reaction (other): The joint and muscle pain and aches are probably not related to the vaccination.
Release 10 — day 7, dose 3
Systemic reaction (other): My symptoms above are probably due to chronic pain from arthritis and Rotator Cuff issues
Release 10 — day 35, dose 3
Symptoms: I had some diarrhea for two days. I believe it was restaurant food that wasn't up to standard.
Release 11 — 3 months, dose 3
Symptoms: I have re strained my shoulder this evening. This is certainly not related to having the vaccine booster.
Release 11 — day 14, dose 4
Symptoms: I have had increasing pain with an ulcer in my toe and have seen a podiatrist. I also have been having more joint pain and muscle pain. I do not think this is related to my vaccine shots
Healthcare visit (other): My family doctor referred me to a podiatrist
Release 12 — 6 months, dose 4
Symptoms: My husband has tested positive for COVID on 10/2 and although I have had two negative tests 10/2 and 10/3 I do have some minor symptoms: increased nasal discharge , some sinus pressure and a 99.2 temp. On 10/1 I had 3 small fist episodes of Vertigo. cut off by CDC
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 | Carpal tunnel syndrome | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin ulcer | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Physiotherapy | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release