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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

  1. 2021-04-15
    Dose 1 — Moderna
  2. 2021-04-25
    Registered in v-safe
  3. 2021-04-25
    Survey response — day 7, dose 1
    MedDRA: Neck pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache · Be unable to do your normal daily activities
    Free 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
  4. 2021-04-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-08
    Survey response — day 21, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Severe sore throat but unsure if related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-13
    Dose 2 — Moderna
  7. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  8. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Myalgia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness
    Free text: Armpit and trapezius pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Myalgia, Neck pain — Feeling: Fair · Site: Pain · Headache
    Free text: Axilla pain. Still trapezius pain going into neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  11. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  12. 2021-05-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Neck pain — Feeling: Good · Site: Pain
    Free text: Trapezius pain going to neck and ear
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-06-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-05-13
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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
  22. 2022-05-13
    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 · 1 call case(s)
  23. 2022-05-16
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-13Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-25

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

2021-05-08

Symptoms: Severe sore throat but unsure if related

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Armpit and trapezius pain

2021-05-16

Systemic reaction (other): Axilla pain. Still trapezius pain going into neck.

2021-05-19

Systemic reaction (other): Trapezius pain going to neck and ear

Release 11 — 12 months, dose 2

2022-05-13

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

FieldPreferred term2021-092023-042024-11
SDBrain fog · · ✓
SDCOVID-19 · · ✓
SDCraniofacial fracture · · ✓
SDEmergency care · · ✓
SDFatigue · · ✓
SDLoss of consciousness · · ✓
SDNeurological symptom · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain · · ✓
SDTooth fracture · · ✓
SROAxillary pain ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓

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