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
-
2021-03-19
Dose 1 — Moderna
-
2021-03-21
Registered in v-safe
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Jaw disorder, Oropharyngeal pain — Feeling: GoodFree 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
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2021-03-26
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Just tbe symptons in my jaw and in the throat areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 14, dose 1MedDRA: Axillary pain, Oropharyngeal pain — Feeling: FairFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
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
Systemic reaction (other): Just tbe symptons in my jaw and in the throat area
Release 6 — day 14, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Jaw disorder | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release