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5SV-76145-28868

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
365 / AL
Registered
2021-03-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Dose 1 — Moderna
  2. 2021-03-22
    Registered in v-safe
  3. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  4. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-03-30
    Dose 2 — Moderna
  6. 2021-03-30
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: It has only been one hour so symptoms may change.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-27
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Paranasal sinus discomfort, Paranasal sinus hypersecretion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sinus pressure and drainage Extreme fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Poor
    Adult check-in
  17. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-29
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-09-30
    Survey response — 6 months, dose 2
    MedDRA: Arthritis reactive, Malaise, Muscular weakness, Office visit, Oropharyngeal pain, Somnolence, Tendonitis, Uveitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Reactive arthritis (suspected)Tendon inflammation General malaise and feeling unwellUveitis Sore throat Muscle weakness Somnolence · Healthcare visit (other): Orthopedic doctor, gynecologist
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-09-30
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-12-03
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  22. 2022-03-30
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Brain fog, Malaise, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Received an additional booster because I had a cortisone shot. The vaccine gave me fever and severe joint pain for 2 to 3 days. I was very sick but had negative covid test. Joint pain is still present. Have increased brain fog.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): It has only been one hour so symptoms may change.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): No

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Sinus pressure and drainage Extreme fatigue

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Reactive arthritis (suspected)Tendon inflammation General malaise and feeling unwellUveitis Sore throat Muscle weakness Somnolence
Healthcare visit (other): Orthopedic doctor, gynecologist

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Received an additional booster because I had a cortisone shot. The vaccine gave me fever and severe joint pain for 2 to 3 days. I was very sick but had negative covid test. Joint pain is still present. Have increased brain fog.

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
HCVOOffice visit · · ✓
SDArthralgia · · ✓
SDArthritis reactive · · ✓
SDBrain fog · · ✓
SDFatigue ✓ ✓ ✓
SDMalaise · · ✓
SDMuscular weakness · · ✓
SDOropharyngeal pain · · ✓
SDParanasal sinus discomfort ✓ ✓ ✓
SDParanasal sinus hypersecretion ✓ ✓ ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSomnolence · · ✓
SDTendonitis · · ✓
SDUveitis · · ✓
SRONo adverse event ✓ ✓ ✓

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