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5C4-18782-97292

2 vaccinations 10 coded responses 14 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
477 / IN
Registered
2021-09-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-19
    Dose 1 — Moderna
  2. 2021-09-16
    Registered in v-safe
  3. 2021-09-16
    Dose 2 — Moderna
  4. 2021-09-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral pain — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Roof of mouth sore
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Charlie horse in foot
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-09-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-09-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hiccups — Feeling: Good · Site: Pain
    Free text: Hiccups constantly on and off all day
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-09-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast pain, Burning sensation — Feeling: Good · Muscle or body aches
    Free text: Burning sensation in my right breast. Existed for several hours. Still hurts. Just started this afternoon about 2:30 central.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-09-23
    Survey response — day 7, dose 2
    MedDRA: Breast pain, Pruritus — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Right breast burning and itching
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-30
    Survey response — day 14, dose 2
    MedDRA: Breast pain, Chest pain, Pain — Feeling: Good
    Free text: Pain under my left breast and near my sternum. Lasts for about 30 minutes of intermittent shooting pains. It hits me a few times a day.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-09
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Gait disturbance, Pain in extremity — Feeling: Good
    Free text: Excruciating pain in my right upper thigh joint near my groin. Can barely walk at times. It comes and goes.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-16
    Survey response — day 28, dose 2
    MedDRA: Muscle spasms — Feeling: Good
    Free text: Muscle cramps in my right leg, thigh. Very intense but only lasts a few seconds
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-12-16
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2022-03-17
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Cardiac disorder, Headache, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Heart palpitations and irregularities. Wore a monitor for a week. On high blood pressure meds now. Still have joint pain in right hip/groin area. Awful headaches on top of head.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-03-17
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2022-03-21
  19. 2022-09-16
    Survey response — 12 months, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: Constant pain in my left thigh.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-19Moderna No
22021-09-16Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-17

Systemic reaction (other): Roof of mouth sore

2021-09-18

Systemic reaction (other): Charlie horse in foot

2021-09-20

Systemic reaction (other): Hiccups constantly on and off all day

2021-09-22

Systemic reaction (other): Burning sensation in my right breast. Existed for several hours. Still hurts. Just started this afternoon about 2:30 central.

Release 9 — day 7, dose 2

2021-09-23

Systemic reaction (other): Right breast burning and itching

Release 9 — day 14, dose 2

2021-09-30

Symptoms: Pain under my left breast and near my sternum. Lasts for about 30 minutes of intermittent shooting pains. It hits me a few times a day.

Release 10 — day 21, dose 2

2021-10-09

Symptoms: Excruciating pain in my right upper thigh joint near my groin. Can barely walk at times. It comes and goes.

Release 10 — day 28, dose 2

2021-10-16

Symptoms: Muscle cramps in my right leg, thigh. Very intense but only lasts a few seconds

Release 11 — 6 months, dose 2

2022-03-17

Symptoms: Heart palpitations and irregularities. Wore a monitor for a week. On high blood pressure meds now. Still have joint pain in right hip/groin area. Awful headaches on top of head.

Release 12 — 12 months, dose 2

2022-09-16

Symptoms: Constant pain in my left thigh.

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 · · ✓
SDBreast pain · · ✓
SDCardiac disorder · · ✓
SDChest pain · · ✓
SDGait disturbance · · ✓
SDHeadache · · ✓
SDMuscle spasms · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDPalpitations · · ✓
SROBreast pain · · ✓
SROBurning sensation · · ✓
SROHiccups · · ✓
SROMuscle spasms · · ✓
SROOral pain · · ✓
SROPruritus · · ✓

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