68R-10505-98961
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 2 — Moderna
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Fatigue or tirednessFree text: Lumbar area pulsating pain on day 3 post injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: Muscle referred to above is chest musclesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
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2021-04-22
Survey response — day 14, dose 2MedDRA: Groin pain, Pain in extremity, Self-medication — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Intense Pulsating pain @ left groin and upper thigh occuring at 130 am and 3:00 am.Today, pain unrelieved by Tylenol snd heating pad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 21, dose 2MedDRA: Chills, Emergency care, Groin pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: On april 22th. Had severe pulsating pain over left inguinal region moving towards outside with chilly sensation and 99.6 temp. Continued x2 days until pain immobilzed me and had to go to ER. · Healthcare visit (other): Urgent care on 4/22 ER on Apr24MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
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2021-05-19
Survey response — day 42, dose 2MedDRA: Arthralgia, Sacral pain, Spinal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain at lumbar, sacral area and a day of pain in right shoulder bone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-01-03
- 2022-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Lumbar area pulsating pain on day 3 post injection.
Systemic reaction (other): Muscle referred to above is chest muscles
Release 7 — day 14, dose 2
Symptoms: Intense Pulsating pain @ left groin and upper thigh occuring at 130 am and 3:00 am.Today, pain unrelieved by Tylenol snd heating pad.
Release 8 — day 21, dose 2
Symptoms: On april 22th. Had severe pulsating pain over left inguinal region moving towards outside with chilly sensation and 99.6 temp. Continued x2 days until pain immobilzed me and had to go to ER.
Healthcare visit (other): Urgent care on 4/22 ER on Apr24
Release 8 — day 42, dose 2
Symptoms: Pain at lumbar, sacral area and a day of pain in right shoulder bone.
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Sacral pain | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Spinal pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release