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63H-15056-20578

3 vaccinations 4 coded responses 17 check-ins 4 free-text entries 2 call cases
Sex
—
Age at first dose
51-55
ZIP prefix
014 / MA
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Dose 1 — Moderna
  2. 2021-01-06
    Registered in v-safe
  3. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-06
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-20
    Survey response — day 14, dose 1
    MedDRA: Back pain, Joint range of motion decreased, Neck pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Severe pain in neck and upper back limiting range of motion in all directions. No idea what caused this. Woke up with it yesterday and its even worse today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-04
    Dose 2 — Moderna
  11. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Behaviour disorder — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Mentally disorganized
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-02-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-25
    Survey response — day 21, dose 2
    MedDRA: Oedema peripheral, Office visit, Tenderness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I went to the dr to evaluate swelling and tenderness in my left armpit. I had first noticed this about 10-14 days earlier. The Dr thought it was related to the vaccine. It was the same side of the body as my shots.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-25
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-24
  23. 2021-08-05
    Survey response — 6 months, dose 2
    MedDRA: Paranasal sinus discomfort, Rhinorrhoea, Sneezing — Feeling: Good
    Free text: Sneezing, runny nose, sinus pressure lasting 48 hours ?common cold?
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-12-30
    Dose 3 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-04Moderna
32021-12-30Moderna No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Severe pain in neck and upper back limiting range of motion in all directions. No idea what caused this. Woke up with it yesterday and its even worse today.

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Mentally disorganized

Release 4 — day 21, dose 2

2021-02-25

Symptoms: I went to the dr to evaluate swelling and tenderness in my left armpit. I had first noticed this about 10-14 days earlier. The Dr thought it was related to the vaccine. It was the same side of the body as my shots.

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Sneezing, runny nose, sinus pressure lasting 48 hours ?common cold?

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
SDBack pain ✓ · ✓
SDJoint range of motion decreased ✓ · ✓
SDNeck pain ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDParanasal sinus discomfort ✓ · ✓
SDRhinorrhoea ✓ · ✓
SDSneezing ✓ · ✓
SDTenderness ✓ ✓ ✓
SROBehaviour disorder ✓ ✓ ✓

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