5VF-10594-99204
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 243 / VA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-22
- 2021-01-30
-
2021-02-04
Survey response — day 21, dose 1MedDRA: Muscular weakness, Pain in extremity — Feeling: GoodFree text: Some general muscle weakness in vaccine arm was noticed a week ago and I was unable to edit my response to this survey. I noticed it after the extreme soreness in my arm subsided. It seems better now but wanted to report.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — day 28, dose 1MedDRA: Diarrhoea, Fatigue, Medical counselling, Nausea, Pyrexia, SARS-CoV-2 test, Vomiting — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Symptoms: Violent vomiting, diarrhea nausea, fatigue, slight fever · Healthcare visit (other): Parking lot assessment by my physician's office and COVID testingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Report sent to call center — day 28, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
-
2021-02-19
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-03-06
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2021-03-12
Survey response — day 21, dose 2MedDRA: Arthralgia, Hypokinesia — Feeling: GoodFree text: Odd, unexplained joint pain in fingers. No injury occurred. Limited movement in right fingers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-28
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2021-08-21
Survey response — 6 months, dose 2MedDRA: Arthralgia, Blood glucose increased, Diabetes mellitus, Immunisation reaction, Office visit, Tendon pain — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Continued joint and tendon pain, newly developed. Being treated for Type 2 or some form of diabetes/high blood sugar. New also. I feel I either reacted to vaccine or had COVID without symptoms and that was the catalyst causing these issues. · Healthcare visit (other): Scheduled appointmentMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 21, dose 1
Symptoms: Some general muscle weakness in vaccine arm was noticed a week ago and I was unable to edit my response to this survey. I noticed it after the extreme soreness in my arm subsided. It seems better now but wanted to report.
Release 4 — day 28, dose 1
Symptoms: Violent vomiting, diarrhea nausea, fatigue, slight fever
Healthcare visit (other): Parking lot assessment by my physician's office and COVID testing
Release 5 — day 21, dose 2
Symptoms: Odd, unexplained joint pain in fingers. No injury occurred. Limited movement in right fingers.
Release 9 — 6 months, dose 2
Symptoms: Continued joint and tendon pain, newly developed. Being treated for Type 2 or some form of diabetes/high blood sugar. New also. I feel I either reacted to vaccine or had COVID without symptoms and that was the catalyst causing these issues.
Healthcare visit (other): Scheduled appointment
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blood glucose increased | ✓ | · | ✓ |
| SD | Diabetes mellitus | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypokinesia | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | · | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Tendon pain | ✓ | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release