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5QY-28741-92787

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
711 / LA
Registered
2021-02-25
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Registered in v-safe
  2. 2021-02-25
    Dose 1 — Moderna
  3. 2021-02-25
    Survey response — day 0, dose 1
    MedDRA: Paranasal sinus discomfort — Feeling: Good · Headache
    Free text: I feel whatSeems like a little sinus pressure. Nothing major.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  6. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Pain and a feeling of weakness in my legs this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Muscular weakness, Pain in extremity — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Free text: Knees and lower legs felt weak and some low grade pain when I got out of bed this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscular weakness — Feeling: Good · Fatigue or tiredness
    Free text: My legs felt weak this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Let pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: The middle two knuckles of my left hand were pain this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-11
    Survey response — day 14, dose 1
    MedDRA: Fear of falling, Muscular weakness, Pain in extremity — Feeling: Good
    Free text: On Tuesday morning when I got up to go to the bathroom both legs from my thigh to my ankles. I experienced pain and weakness, the most intense since taking the vaccine. I had to sit down for fear of falling. It lasted approximately 15 seconds.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-25
    Dose 2 — Moderna
  14. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  16. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-08
    Survey response — day 14, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: On March 29 I was awakened by pain in both calves. Then on the 30th the was moderate pain in both thighs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-03-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): I feel whatSeems like a little sinus pressure. Nothing major.

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Pain and a feeling of weakness in my legs this morning.

2021-03-01

Systemic reaction (other): Knees and lower legs felt weak and some low grade pain when I got out of bed this morning.

2021-03-02

Systemic reaction (other): My legs felt weak this morning.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Let pain.

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): The middle two knuckles of my left hand were pain this morning.

Release 5 — day 14, dose 1

2021-03-11

Symptoms: On Tuesday morning when I got up to go to the bathroom both legs from my thigh to my ankles. I experienced pain and weakness, the most intense since taking the vaccine. I had to sit down for fear of falling. It lasted approximately 15 seconds.

Release 7 — day 14, dose 2

2021-04-08

Symptoms: On March 29 I was awakened by pain in both calves. Then on the 30th the was moderate pain in both thighs.

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
SDFear of falling ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓

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