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5AJ-30979-63417

4 vaccinations 14 coded responses 53 check-ins 14 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
920 / CA
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Registered in v-safe
  2. 2021-02-04
    Dose 1 — Moderna
  3. 2021-02-04
    Survey response — day 0, dose 1
    MedDRA: Pyrexia — Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Free text: My scanner normal temp is 97.2 so just a slight fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Muscle or body aches, Diarrhea
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Fair · Fever · Headache
    Free text: Headache worse today from previous reported
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal discomfort — Feeling: Good · Muscle or body aches
    Free text: Slight discomfort in left lower back (kidney area). Same side as vaccine, but may be unrelated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Survey response — day 14, dose 1
    MedDRA: Arthritis, Hypoaesthesia, Muscular weakness, Pre-existing disease — Feeling: Fair
    Free text: Twice my vaccine arm (L) has experienced numbness & weakness. Hips feeling very arthritic last 3-4 days at top of hips in back, & bottom hip/leg bone connection in front. I do have slight arthritis, but pain is much worse since the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-25
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Hypoaesthesia — Feeling: Fair
    Free text: Still experiencing joint pain and numbness in left arm (injection side) Numbness was every 2 days now pretty much every day. My blood type is B+ in case you are tracking symptoms to blood type
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-04
    Dose 2 — Moderna
  14. 2021-03-04
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea
    Free text: Tinnitus. Dizziness when bending over (to look under a table for example)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  20. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-25
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Yesterday 3/24: Sharp headache pain behind left eye lasting 20-30 seconds. None today 3/25.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-01
    Survey response — day 28, dose 2
    MedDRA: Injection site hypoaesthesia — Feeling: Good
    Free text: Still experiencing dead arm in injection arm. Numbness lasts about 1-2 minutes. Not every day but when it happens, its usually 3-4 times during that 24 hrs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-08
    Survey response — day 35, dose 2
    MedDRA: Headache, Hypoaesthesia — Feeling: Good
    Free text: Still experiencing Dead Arm numbness 30-120 seconds. Sharp pain headaches on occasion 1-2 times p week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-06
    Dose 3 — Moderna
  30. 2021-12-06
    Survey response — day 0, dose 3
    MedDRA: Hypoaesthesia, Immediate post-injection reaction, Vaccine positive rechallenge — Feeling: Good · Headache
    Free text: Dead arm (numbness) which I experienced with second moderna returned within an hour after today's #3. Lasted about 45 minutes. I expect it to return periodically if similar to #2 shot.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  33. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-13
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-17
    Survey response — day 42, dose 3
    MedDRA: Chills, Hot flush, Ocular hyperaemia, Urinary tract infection — Feeling: Fair
    Free text: Red eye; uti, chills / hot flashes
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-03-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-06-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-09-28
    Dose 4 — Moderna
  45. 2022-09-28
    Survey response — day 0, dose 4
    MedDRA: Fatigue, Headache — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Trimmed hedge to avoid dead arm. At 6hrs now getting headache and tired.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  47. 2022-09-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-10-01
    Survey response — days 1–6 daily, dose 4
    MedDRA: Gait disturbance, Joint injury, Joint swelling — Feeling: Fair · Joint pains · Be unable to do your normal daily activities
    Free text: Stepped down from 16" height last night and felt my knee go. Swollen today and can't walk without assistance. Until then my joint pain had all but disappeared. Is the vaccine causing weakness?
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-10-02
    Survey response — days 1–6 daily, dose 4
    MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Right knee probably needs xray. Will go Monday or Tuesday
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-10-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  51. 2022-10-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  52. 2022-10-07
    Health check-in — day 7, dose 4
    Feeling: Fair · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  53. 2022-10-12
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  54. 2022-10-19
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-10-26
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  56. 2022-11-02
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-11-09
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2023-03-29
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna
32021-12-06Moderna No
42022-09-28Moderna No

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): My scanner normal temp is 97.2 so just a slight fever

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Headache worse today from previous reported

2021-02-10

Systemic reaction (other): Slight discomfort in left lower back (kidney area). Same side as vaccine, but may be unrelated.

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Twice my vaccine arm (L) has experienced numbness & weakness. Hips feeling very arthritic last 3-4 days at top of hips in back, & bottom hip/leg bone connection in front. I do have slight arthritis, but pain is much worse since the vaccine.

Release 4 — day 21, dose 1

2021-02-25

Symptoms: Still experiencing joint pain and numbness in left arm (injection side) Numbness was every 2 days now pretty much every day. My blood type is B+ in case you are tracking symptoms to blood type

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Tinnitus. Dizziness when bending over (to look under a table for example)

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Yesterday 3/24: Sharp headache pain behind left eye lasting 20-30 seconds. None today 3/25.

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Still experiencing dead arm in injection arm. Numbness lasts about 1-2 minutes. Not every day but when it happens, its usually 3-4 times during that 24 hrs.

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Still experiencing Dead Arm numbness 30-120 seconds. Sharp pain headaches on occasion 1-2 times p week

Release 10 — day 0, dose 3

2021-12-06

Systemic reaction (other): Dead arm (numbness) which I experienced with second moderna returned within an hour after today's #3. Lasted about 45 minutes. I expect it to return periodically if similar to #2 shot.

Release 10 — day 42, dose 3

2022-01-17

Symptoms: Red eye; uti, chills / hot flashes

Release 12 — day 0, dose 4

2022-09-28

Systemic reaction (other): Trimmed hedge to avoid dead arm. At 6hrs now getting headache and tired.

Release 12 — days 1–6 daily, dose 4

2022-10-01

Systemic reaction (other): Stepped down from 16" height last night and felt my knee go. Swollen today and can't walk without assistance. Until then my joint pain had all but disappeared. Is the vaccine causing weakness?

2022-10-02

Systemic reaction (other): Right knee probably needs xray. Will go Monday or Tuesday

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
SDArthralgia ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDChills · · ✓
SDHeadache ✓ ✓ ✓
SDHot flush · · ✓
SDHypoaesthesia ✓ ✓ ✓
SDInjection site hypoaesthesia ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDOcular hyperaemia · · ✓
SDPre-existing disease ✓ ✓ ✓
SDUrinary tract infection · · ✓
SRODizziness ✓ ✓ ✓
SROFatigue · · ✓
SROGait disturbance · · ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia · · ✓
SROImmediate post-injection reaction · · ✓
SROJoint injury · · ✓
SROJoint swelling · · ✓
SROMusculoskeletal discomfort ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓
SROUnevaluable event · · ✓
SROVaccine positive rechallenge · · ✓

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

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