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5UB-18214-64605

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
941 / CA
Registered
2020-12-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Dose 1 — Moderna
  2. 2020-12-27
    Registered in v-safe
  3. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  4. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Erythema, Fatigue, Headache, Influenza like illness, Injected limb mobility decreased, Injection site pain, Pain, Skin warm — Feeling: Good · Headache
    Free text: I want to report that I got my vaccine on Wednesday, December 23. What I'm not about to capture here because I didn't sign up for this until multiple days after vaccine is that fit 36 hours post vaccine, my deltoid muscle was hot and the skin was red. I could barely lift my arm and pain was 7/10. I had severe fatigue, chills, headache, I felt febrile although the wasn't running a fever, and I felt flu-like with all over achiness. The peak of this was about 16-28 hours post vaccine. Within 36 hours I felt back to normal with just mild tenderness at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-20
    Dose 2 — Moderna
  9. 2021-01-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  10. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-21
    Survey response — 6 months, dose 2
    MedDRA: Headache, Pre-existing disease, Sneezing — Feeling: Fair
    Free text: Headaches, sneezing, likely my usual seasonal allergies.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-20
    Survey response — 12 months, dose 2
    MedDRA: Cervical radiculopathy, Neck pain, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Neck/arm pain due to cervical radiculopathy
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-20
    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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2022-01-21

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): I want to report that I got my vaccine on Wednesday, December 23. What I'm not about to capture here because I didn't sign up for this until multiple days after vaccine is that fit 36 hours post vaccine, my deltoid muscle was hot and the skin was red. I could barely lift my arm and pain was 7/10. I had severe fatigue, chills, headache, I felt febrile although the wasn't running a fever, and I felt flu-like with all over achiness. The peak of this was about 16-28 hours post vaccine. Within 36 hours I felt back to normal with just mild tenderness at injection site.

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: Headaches, sneezing, likely my usual seasonal allergies.

Release 10 — 12 months, dose 2

2022-01-20

Symptoms: Neck/arm pain due to cervical radiculopathy

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
SDCervical radiculopathy · · ✓
SDHeadache · · ✓
SDNeck pain · · ✓
SDPain in extremity · · ✓
SDPre-existing disease · · ✓
SDSneezing · · ✓
SROChills ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROJoint range of motion decreased ○ ○ ○
SROPain ✓ ✓ ✓
SROPyrexia ○ ○ ○
SROSkin warm ✓ ✓ ✓

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