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
-
2021-01-16
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
- 2021-01-22
- 2021-01-25
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Endoscopy, Gastric ulcer — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had an endoscopy to evaluate a stomach ulcer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
-
2021-02-14
Dose 2 — Moderna
- 2021-02-20
- 2021-02-21
-
2021-02-28
Survey response — day 14, dose 2MedDRA: Arthralgia, Cluster headache, Eye pain, Musculoskeletal stiffness, Myalgia, Neck pain, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-03-07
- 2021-03-14
- 2021-03-21
-
2021-03-30
Survey response — day 42, dose 2MedDRA: Arthralgia, Fatigue, Insomnia, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
-
2021-05-16
Survey response — 3 months, dose 2MedDRA: 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 professionalFree 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
-
2021-05-16
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-15
-
2022-02-14
Survey response — 12 months, dose 2MedDRA: 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 professionalFree 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
-
2022-02-14
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-02-15
-
2022-02-15
Callback requested for01:00PM ET
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-14 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: I had an endoscopy to evaluate a stomach ulcer.
Release 4 — day 14, dose 2
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
Symptoms: Puritis, joint pain especially fingers, tired but unable to sleep more than 3 hours.
Release 8 — 3 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Ankle fracture | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cluster headache | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Endoscopy | ✓ | ✓ | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastric ulcer | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release