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5F4-31108-87046

1 vaccination 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
377 / TN
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Moderna
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Jaw disorder, Oropharyngeal pain — Feeling: Good
    Free text: I did not feel that this was related. But Friday 3/19 I noticed that I was having a problem with jaw. It was on the left side which is where I had my shot. I also had some symptons with my throat being sore. Just enough to say it was sore. I just wanted to tell this because i just realized whenmy boss was talking about his today. Then I asked was that a side effect of the shot. Nothing big it does not bother me as much as it was on the day that I received tbe shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Just tbe symptons in my jaw and in the throat area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-02
    Survey response — day 14, dose 1
    MedDRA: Axillary pain, Oropharyngeal pain — Feeling: Fair
    Free text: Soreness under left arm and still have some soreness in my throatI have called and left a message for my PCP have not hobe for a visit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): I did not feel that this was related. But Friday 3/19 I noticed that I was having a problem with jaw. It was on the left side which is where I had my shot. I also had some symptons with my throat being sore. Just enough to say it was sore. I just wanted to tell this because i just realized whenmy boss was talking about his today. Then I asked was that a side effect of the shot. Nothing big it does not bother me as much as it was on the day that I received tbe shot.

Release 6 — day 7, dose 1

2021-03-26

Systemic reaction (other): Just tbe symptons in my jaw and in the throat area

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Soreness under left arm and still have some soreness in my throatI have called and left a message for my PCP have not hobe for a visit.

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
SDAxillary pain ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SROJaw disorder ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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