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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

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain, Headache, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: First 24 hrs arm pain, headache. @48 hrs worsening arm pain @72hrs fleeting chest pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-01-28
    Survey response — day 21, dose 1
    MedDRA: Asthenia, Back pain, Chest pain, Musculoskeletal pain, Nausea, Pleuritic pain, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free 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
  6. 2021-02-04
    Dose 2 — Moderna
  7. 2021-02-11
    Survey response — day 7, dose 2
    MedDRA: 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 activities
    Free text: Symptoms on Feb 5, 2021
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2022-02-06
    Survey response — 12 months, dose 2
    MedDRA: 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, Hospitalization
    Free 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
  9. 2022-02-06
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  10. 2022-02-08

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): First 24 hrs arm pain, headache. @48 hrs worsening arm pain @72hrs fleeting chest pain

Release 2 — day 21, dose 1

2021-01-28

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

2021-02-11

Systemic reaction (other): Symptoms on Feb 5, 2021

Release 11 — 12 months, dose 2

2022-02-06

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDDyspnoea · · ✓
SDMuscle spasms · · ✓
SDMusculoskeletal pain ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPleuritic pain ✓ ✓ ✓
SDUnevaluable event · · ✓
SDVomiting ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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