5N7-64173-97927
4 vaccinations
10 coded responses
39 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-07
Dose 1 — Moderna
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2021-02-08
Registered in v-safe
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2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-10
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Headache, Tenderness — Feeling: Good · Muscle or body achesFree text: I didnt report this yesterday and should have. I had a burning sensation and soreness on the left side of my head. It got worse during the day and was very sensitive to touch. It subsided near morning is now a minimal burning feeling and not as sore to touch. I didnt think it could have anything to do with the shot but now am thinking it may. The pain was at a moderate level when I got home from work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Headache — Feeling: Good · Site: Pain · HeadacheFree text: Still having the burning and soreness on side of my head as described yesterday. It isnt as severe and ibuprofen seems to relieve it until that wears off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Pain of skin — Feeling: Good · HeadacheFree text: Still have mild scalp burning and sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — day 7, dose 1MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Still mild oreness and burning on left side of head. Ibuprofen still relieving discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-28
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2021-03-06
Dose 2 — Moderna
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pain of skin, Skin burning sensation — Feeling: Good · HeadacheFree text: Pain up the left side of my head like I did on first shot. Same side as shots. Sore and burning feeling from above my ear to the center of my scalp.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 7, dose 2MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Pain on side of head is a little less painful. I am taking ibuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
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2021-04-10
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Worsening of joint pain in knees and shoulders.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Still having knee and hip pain in right side like I had the day after I got second shot. Not sure if related to shot or not but has worsened since that time. I didnt mention until last week because I wasnt sure but someone else mentioned the saMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-09-04
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2021-11-05
Dose 3 — Moderna
- 2022-03-06
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2022-04-29
Dose 4 — Pfizer-BioNTech
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
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2022-06-03
Survey response — day 35, dose 4MedDRA: Arthralgia, Back pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe pain in back and side of right knee after mind stretchingMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-07-29
- 2022-10-28
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2023-04-29
Survey response — 12 months, dose 4MedDRA: Blood pressure abnormal, Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-04-29
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2023-05-01
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 | 2021-02-07 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I didnt report this yesterday and should have. I had a burning sensation and soreness on the left side of my head. It got worse during the day and was very sensitive to touch. It subsided near morning is now a minimal burning feeling and not as sore to touch. I didnt think it could have anything to do with the shot but now am thinking it may. The pain was at a moderate level when I got home from work.
Systemic reaction (other): Still having the burning and soreness on side of my head as described yesterday. It isnt as severe and ibuprofen seems to relieve it until that wears off.
Systemic reaction (other): Still have mild scalp burning and soreness
Release 4 — day 7, dose 1
Systemic reaction (other): Still mild oreness and burning on left side of head. Ibuprofen still relieving discomfort.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Pain up the left side of my head like I did on first shot. Same side as shots. Sore and burning feeling from above my ear to the center of my scalp.
Release 5 — day 7, dose 2
Systemic reaction (other): Pain on side of head is a little less painful. I am taking ibuprofen
Release 7 — day 35, dose 2
Symptoms: Worsening of joint pain in knees and shoulders.
Release 7 — day 42, dose 2
Symptoms: Still having knee and hip pain in right side like I had the day after I got second shot. Not sure if related to shot or not but has worsened since that time. I didnt mention until last week because I wasnt sure but someone else mentioned the sa
Release 11 — day 35, dose 4
Symptoms: Severe pain in back and side of right knee after mind stretching
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Blood pressure abnormal | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release