5GG-32092-82097
2 vaccinations
4 coded responses
5 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 230 / VA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Headache, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: First 24 hrs arm pain, headache. @48 hrs worsening arm pain @72hrs fleeting chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
-
2021-01-28
Survey response — day 21, dose 1MedDRA: Asthenia, Back pain, Chest pain, Musculoskeletal pain, Nausea, Pleuritic pain, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe subscapular back and chest pain on the right side. Pleuritic and burning. Associated with nausea and vomiting. Debilitating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Dose 2 — Moderna
-
2021-02-11
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Symptoms on Feb 5, 2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-02-06
Survey response — 12 months, dose 2MedDRA: Back pain, Dyspnoea, Muscle spasms, Musculoskeletal pain, Nausea, Unevaluable event, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Low back pain intermittent at ileosacral on right. Severe pain under right shoulder blade with back cramps, nausea, vomiting. - dx subsegmental PE on right side. Season where laughter caused spasms in chest. Unable to get full breath. All improved.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-06
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): First 24 hrs arm pain, headache. @48 hrs worsening arm pain @72hrs fleeting chest pain
Release 2 — day 21, dose 1
Symptoms: Severe subscapular back and chest pain on the right side. Pleuritic and burning. Associated with nausea and vomiting. Debilitating.
Release 4 — day 7, dose 2
Systemic reaction (other): Symptoms on Feb 5, 2021
Release 11 — 12 months, dose 2
Symptoms: Low back pain intermittent at ileosacral on right. Severe pain under right shoulder blade with back cramps, nausea, vomiting. - dx subsegmental PE on right side. Season where laughter caused spasms in chest. Unable to get full breath. All improved. 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 |
|---|---|---|---|---|
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pleuritic pain | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release