5U4-24299-84879
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 194 / PA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-11
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-01-15
Health check-in — day 7, dose 1Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-01-22
- 2021-01-30
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2021-02-05
Dose 2 — Moderna
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2021-02-12
Survey response — day 7, dose 2MedDRA: Arthralgia, Myalgia, Pyrexia — Feeling: Good · Fatigue or tirednessFree text: Affecting me severely so I was unable to function well 12 hours after vaccine I had a fever, muscle and joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
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2021-03-05
Survey response — day 28, dose 2MedDRA: Arthralgia, Myalgia — Feeling: GoodFree text: Joint and muscle painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-19
Survey response — day 42, dose 2MedDRA: Arthralgia, Back pain, Dizziness, Fatigue, Myalgia — Feeling: PoorFree text: Muscle and joint pain. Dizziness and fatigue. Back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — 3 months, dose 2MedDRA: Eczema, Facial discomfort — Feeling: GoodFree text: Facial dermatitis or exzemaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Arthritis, Condition aggravated, Epicondylitis, Myalgia, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Arthritis in R shoulder, R elbow are acting up big time. I have tennis elbow with painful muscles around it. Had second shot in my R arm and arthritis flared up right away w/injection. · Healthcare visit (other): My regular physicianMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): Affecting me severely so I was unable to function well 12 hours after vaccine I had a fever, muscle and joint pain
Release 5 — day 28, dose 2
Symptoms: Joint and muscle pains
Release 5 — day 42, dose 2
Symptoms: Muscle and joint pain. Dizziness and fatigue. Back pain.
Release 8 — 3 months, dose 2
Symptoms: Facial dermatitis or exzema
Release 9 — 6 months, dose 2
Symptoms: Arthritis in R shoulder, R elbow are acting up big time. I have tennis elbow with painful muscles around it. Had second shot in my R arm and arthritis flared up right away w/injection.
Healthcare visit (other): My regular physician
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Eczema | ✓ | ✓ | ✓ |
| SD | Epicondylitis | ✓ | · | ✓ |
| SD | Facial discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release