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64N-14655-05700

4 vaccinations 25 coded responses 55 check-ins 25 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
740 / OK
Registered
2021-02-06
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Registered in v-safe
  2. 2021-02-06
    Dose 1 — Moderna
  3. 2021-02-06
    Survey response — day 0, dose 1
    MedDRA: Ear discomfort, Neck pain, Pain in jaw — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Neck ache and jaw ache (both sides) and ears feel stuffy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Pain — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Deep muscle pain is limited to the upper arm muscle under the injection site and today above injection site and a bit wider now, spreading. The injection site never hurt. The muscle pain hurts much worse than a charlie horse when moving arm. While being still it does not hurt. It doesn't keep you from doing your work but you don't want to use your arm and have to force yourself to power through it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Upper arm muscle is still sore. I chilled it all night and it's much better today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear discomfort, Feeling abnormal, Injection site pain, Oropharyngeal pain — Feeling: Fair · Muscle or body aches
    Free text: Ears are stuffy again, start of a sore throat. Feeling a bit off today. Back side of upper arm muscle [arm where injection was given] is sore and achy now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia — Feeling: Good · Muscle or body aches
    Free text: Upper arm muscle is only slightly achy today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Back pain.. not sure if it's related to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-13
    Survey response — day 7, dose 1
    MedDRA: Musculoskeletal chest pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Ribs on injection side hurt..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-20
    Survey response — day 14, dose 1
    MedDRA: Pain in jaw — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Unsure if related. Jaw ache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-06
    Dose 2 — Moderna
  14. 2021-03-06
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Sweating badly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear discomfort — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Just stuffy ears like with the first dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis, Injection site pruritus — Feeling: Good · Site: Pain, Itching
    Free text: Sweating. Also itching at injection site and around site started yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear discomfort, Hyperhidrosis — Feeling: Good · Site: Pain
    Free text: Stuffy ears still and sweating much lessened than before but still present.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-27
    Survey response — day 21, dose 2
    MedDRA: Musculoskeletal chest pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have bad rib pain on the same side as the injection. Weeks after my first injection I had rib pain on that same side as well which subsided a week or two after the pain began.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-10
    Survey response — day 35, dose 2
    MedDRA: Hyperhidrosis — Feeling: Good
    Free text: Since a day or two after the second shot I sweat too easily while doing regular things like vacuuming, I've never sweated like this unless I am doing hard cardio. I thought it would pass after a week or two but it still happens.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-03
    Dose 3 — Moderna
  30. 2021-12-03
    Survey response — day 0, dose 3
    MedDRA: Hypoaesthesia oral, Immediate post-injection reaction, Paraesthesia oral — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Milld tingling numbness on one side of tongue after injection, faded within 30 minutes.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness
    Adult check-in
  34. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  35. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  36. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-12-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-31
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  41. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  43. 2022-03-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-06-03
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  45. 2022-09-16
    Dose 4 — Moderna
  46. 2022-09-16
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  47. 2022-09-17
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dyspepsia — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness
    Free text: Indigestion in middle of night. Not normal for me.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-09-18
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Lots of sweating.
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-09-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Mostly a lot of sweating.
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-09-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches
    Free text: Sweating a lot.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-09-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hyperhidrosis — Feeling: Fair · Fever · Fatigue or tiredness
    Free text: Sweating
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-09-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hyperhidrosis — Feeling: Fair · Nausea
    Free text: Sweating
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-09-23
    Survey response — day 7, dose 4
    MedDRA: Hyperhidrosis — Feeling: Fair
    Free text: Sweating randomly
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-09-30
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-10-07
    Survey response — day 21, dose 4
    MedDRA: Injection site pain — Feeling: Good
    Free text: Just some muscle pain where I was injected and the muscle around it. Didn't do anything to make it sore. It just started aching again randomly. Mild. Just enough ache to notice it. Tender to touch.
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-10-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-10-21
    Survey response — day 35, dose 4
    MedDRA: Gingival abscess, Tooth abscess — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tooth or gum abscess probably unrelated to this vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-10-28
    Survey response — day 42, dose 4
    MedDRA: Tooth abscess — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Abscess upper left back molar.
    MedDRA releases: 2024-11 · check-in free text available
  59. 2022-12-16
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  60. 2023-03-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna
22021-03-06Moderna
32021-12-03Moderna No
42022-09-16Moderna No

Free text

Release 3 — day 0, dose 1

2021-02-06

Systemic reaction (other): Neck ache and jaw ache (both sides) and ears feel stuffy

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Deep muscle pain is limited to the upper arm muscle under the injection site and today above injection site and a bit wider now, spreading. The injection site never hurt. The muscle pain hurts much worse than a charlie horse when moving arm. While being still it does not hurt. It doesn't keep you from doing your work but you don't want to use your arm and have to force yourself to power through it.

2021-02-08

Systemic reaction (other): Upper arm muscle is still sore. I chilled it all night and it's much better today.

2021-02-09

Systemic reaction (other): Ears are stuffy again, start of a sore throat. Feeling a bit off today. Back side of upper arm muscle [arm where injection was given] is sore and achy now.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Upper arm muscle is only slightly achy today.

2021-02-12

Systemic reaction (other): Back pain.. not sure if it's related to the vaccine.

Release 4 — day 7, dose 1

2021-02-13

Systemic reaction (other): Ribs on injection side hurt..

Release 4 — day 14, dose 1

2021-02-20

Symptoms: Unsure if related. Jaw ache.

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Sweating badly

2021-03-09

Systemic reaction (other): Just stuffy ears like with the first dose.

2021-03-10

Systemic reaction (other): Sweating. Also itching at injection site and around site started yesterday.

2021-03-11

Systemic reaction (other): Stuffy ears still and sweating much lessened than before but still present.

Release 6 — day 21, dose 2

2021-03-27

Symptoms: I have bad rib pain on the same side as the injection. Weeks after my first injection I had rib pain on that same side as well which subsided a week or two after the pain began.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Since a day or two after the second shot I sweat too easily while doing regular things like vacuuming, I've never sweated like this unless I am doing hard cardio. I thought it would pass after a week or two but it still happens.

Release 10 — day 0, dose 3

2021-12-03

Systemic reaction (other): Milld tingling numbness on one side of tongue after injection, faded within 30 minutes.

Release 12 — days 1–6 daily, dose 4

2022-09-17

Systemic reaction (other): Indigestion in middle of night. Not normal for me.

2022-09-18

Systemic reaction (other): Lots of sweating.

2022-09-19

Systemic reaction (other): Mostly a lot of sweating.

2022-09-20

Systemic reaction (other): Sweating a lot.

2022-09-21

Systemic reaction (other): Sweating

2022-09-22

Systemic reaction (other): Sweating

Release 12 — day 7, dose 4

2022-09-23

Systemic reaction (other): Sweating randomly

Release 12 — day 21, dose 4

2022-10-07

Symptoms: Just some muscle pain where I was injected and the muscle around it. Didn't do anything to make it sore. It just started aching again randomly. Mild. Just enough ache to notice it. Tender to touch.

Release 12 — day 35, dose 4

2022-10-21

Symptoms: Tooth or gum abscess probably unrelated to this vaccine.

Release 12 — day 42, dose 4

2022-10-28

Symptoms: Abscess upper left back molar.

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
SDGingival abscess · · ✓
SDHyperhidrosis ✓ ✓ ✓
SDInjection site pain · · ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SDTooth abscess · · ✓
SROBack pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODyspepsia · · ✓
SROEar discomfort ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROHypoaesthesia oral · · ✓
SROImmediate post-injection reaction · · ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROMusculoskeletal chest pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROParaesthesia oral · · ✓

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