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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

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-04-07
    Registered in v-safe
  3. 2021-04-07
    Dose 2 — Moderna
  4. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Good · Fatigue or tiredness
    Free text: Lumbar area pulsating pain on day 3 post injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches
    Free text: Muscle referred to above is chest muscles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-22
    Survey response — day 14, dose 2
    MedDRA: Groin pain, Pain in extremity, Self-medication — Feeling: Poor · Be unable to do your normal daily activities
    Free 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
  11. 2021-04-28
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free 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 Apr24
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-28
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-19
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Sacral pain, Spinal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  15. 2022-01-03
  16. 2022-01-06

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Lumbar area pulsating pain on day 3 post injection.

2021-04-12

Systemic reaction (other): Muscle referred to above is chest muscles

Release 7 — day 14, dose 2

2021-04-22

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

2021-04-28

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

2021-05-19

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDGroin pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSacral pain ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSpinal pain ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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