5JX-20294-65316
2 vaccinations
6 coded responses
18 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 444 / OH
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Moderna
-
2021-04-25
Registered in v-safe
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2021-04-25
Survey response — day 7, dose 1MedDRA: Neck pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache · Be unable to do your normal daily activitiesFree text: Left trapezius pain into left neck that started 8 days after first dose. Is that normal?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-05-08
Survey response — day 21, dose 1MedDRA: Oropharyngeal pain — Feeling: FairFree text: Severe sore throat but unsure if relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Dose 2 — Moderna
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Myalgia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tirednessFree text: Armpit and trapezius painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Myalgia, Neck pain — Feeling: Fair · Site: Pain · HeadacheFree text: Axilla pain. Still trapezius pain going into neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-05-18
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Neck pain — Feeling: Good · Site: PainFree text: Trapezius pain going to neck and earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-26
- 2021-08-12
- 2021-11-11
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2022-05-13
Survey response — 12 months, dose 2MedDRA: Brain fog, COVID-19, Craniofacial fracture, Emergency care, Fatigue, Loss of consciousness, Neurological symptom, Pain, Tooth fracture — Feeling: Fair · 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 visitFree text: Had Covid January 15. Passed out and went to ER. Broke nose. Chipped front tooth. Severe brain fog, pain and fatigue. A lot of upper body neuro symptoms for which I am seeing a neurologist on May 23.MedDRA releases: 2024-11 · check-in free text available
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2022-05-13
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 · 1 call case(s)
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2022-05-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Left trapezius pain into left neck that started 8 days after first dose. Is that normal?
Release 8 — day 21, dose 1
Symptoms: Severe sore throat but unsure if related
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Armpit and trapezius pain
Systemic reaction (other): Axilla pain. Still trapezius pain going into neck.
Systemic reaction (other): Trapezius pain going to neck and ear
Release 11 — 12 months, dose 2
Symptoms: Had Covid January 15. Passed out and went to ER. Broke nose. Chipped front tooth. Severe brain fog, pain and fatigue. A lot of upper body neuro symptoms for which I am seeing a neurologist on May 23.
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 | Brain fog | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Craniofacial fracture | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Tooth fracture | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release