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5ZZ-78587-30788

1 vaccination 3 coded responses 11 check-ins 3 free-text entries 3 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
211 / MD
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Injection site reaction, Muscle swelling, Office visit — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · 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: Yesterday I was seen by an Orthopedist for pain & swelling at my RIGHT deltoid muscle (site of vaccine injection) and shoulder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-16
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Injection site swelling, Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Systemic reaction (other): I sometimes get stress-triggered migraines & have been feeling pain and swelling in my Right shoulder and Upper arm (near the site of the injection). · Healthcare visit (other): Being seen by an Orthopedist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-17
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-19
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-26
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Fatigue, Headache, Joint stiffness, Muscle tightness, Pain in extremity, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Some severe headache issues, exceptional fatigue and soreness & tightness in my Right arm and shoulder. · Healthcare visit (other): Outpatient Physical Therapy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-26
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-06-11
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-09-13
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2022-03-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  17. 2022-03-12
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Healthcare visit (other): Yesterday I was seen by an Orthopedist for pain & swelling at my RIGHT deltoid muscle (site of vaccine injection) and shoulder.

2021-03-17

Systemic reaction (other): I sometimes get stress-triggered migraines & have been feeling pain and swelling in my Right shoulder and Upper arm (near the site of the injection).
Healthcare visit (other): Being seen by an Orthopedist

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Some severe headache issues, exceptional fatigue and soreness & tightness in my Right arm and shoulder.
Healthcare visit (other): Outpatient Physical Therapy

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
HCVOInjection site pain ✓ ✓ ✓
HCVOInjection site reaction ✓ ✓ ✓
HCVOMuscle swelling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOPhysiotherapy ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
HCVOVaccination site swelling ○ ○ ○
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDJoint stiffness ✓ ✓ ✓
SDMuscle tightness ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓

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