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5YU-32453-10042

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
064 / CT
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-30
    Survey response — day 14, dose 1
    MedDRA: Endoscopy, Gastric ulcer — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I had an endoscopy to evaluate a stomach ulcer.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-13
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-14
    Dose 2 — Moderna
  9. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-21
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  11. 2021-02-28
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Cluster headache, Eye pain, Musculoskeletal stiffness, Myalgia, Neck pain, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My entire body itches but no rash. My trapezoid muscles are hard as rock with muscle pain going up the sides of my neck. Joint pain in my hands very painful to make a fist. Still with severe headaches on and off and right eye pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-07
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-14
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-03-21
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-03-30
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Fatigue, Insomnia, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Puritis, joint pain especially fingers, tired but unable to sleep more than 3 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-16
    Survey response — 3 months, dose 2
    MedDRA: Ankle fracture, Fall, Muscular weakness, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Weakness in my left leg causing me to fall and break my right ankle. I found out that it is coming from my back. · Healthcare visit (other): Seen by my orthopedic doctor and neurologist. I have an appointment with a neuro surgeon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-16
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-08-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-02-14
    Survey response — 12 months, dose 2
    MedDRA: Cough, Headache, Malaise, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I had my third Moderna vaccine and I was experiencing headaches, cough and general malaise for about three weeks. · Healthcare visit (other): Primary care doctor.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-14
    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
    1 call case(s)
  21. 2022-02-15
  22. 2022-02-15
  23. 2022-02-17

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-14Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-01-30

Symptoms: I had an endoscopy to evaluate a stomach ulcer.

Release 4 — day 14, dose 2

2021-02-28

Symptoms: My entire body itches but no rash. My trapezoid muscles are hard as rock with muscle pain going up the sides of my neck. Joint pain in my hands very painful to make a fist. Still with severe headaches on and off and right eye pain.

Release 6 — day 42, dose 2

2021-03-30

Symptoms: Puritis, joint pain especially fingers, tired but unable to sleep more than 3 hours.

Release 8 — 3 months, dose 2

2021-05-16

Symptoms: Weakness in my left leg causing me to fall and break my right ankle. I found out that it is coming from my back.
Healthcare visit (other): Seen by my orthopedic doctor and neurologist. I have an appointment with a neuro surgeon.

Release 11 — 12 months, dose 2

2022-02-14

Symptoms: I had my third Moderna vaccine and I was experiencing headaches, cough and general malaise for about three weeks.
Healthcare visit (other): Primary care doctor.

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 ✓ ✓ ✓
SDAnkle fracture ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCluster headache ✓ ✓ ✓
SDCough · · ✓
SDEndoscopy ✓ ✓ ✓
SDEye pain ✓ ✓ ✓
SDFall ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastric ulcer ✓ ✓ ✓
SDHeadache · · ✓
SDInsomnia ✓ ✓ ✓
SDMalaise · · ✓
SDMuscular weakness ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPruritus ✓ ✓ ✓

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