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
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-06
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-07
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-01-12
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2021-01-20
Survey response — day 14, dose 1MedDRA: Back pain, Joint range of motion decreased, Neck pain — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
-
2021-02-04
Dose 2 — Moderna
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-08
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Behaviour disorder — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Mentally disorganizedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-22
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2021-02-25
Survey response — day 21, dose 2MedDRA: Oedema peripheral, Office visit, Tenderness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-02-25
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-05-06
- 2021-05-24
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2021-08-05
Survey response — 6 months, dose 2MedDRA: Paranasal sinus discomfort, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Sneezing, runny nose, sinus pressure lasting 48 hours ?common cold?MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-30
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-12-30 | Moderna | No |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 14, dose 1
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
Systemic reaction (other): Mentally disorganized
Release 4 — day 21, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Back pain | ✓ | · | ✓ |
| SD | Joint range of motion decreased | ✓ | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Behaviour disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release