6KM-18535-06620
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 890 / NV
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
-
2021-02-06
Survey response — day 14, dose 1MedDRA: Abdominal pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bad cramping in abdomen · Healthcare visit (other): In person appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-13
- 2021-02-20
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 28, dose 2MedDRA: Myalgia, Pain — Feeling: GoodFree text: Pain in muscle where injection was given, when lifting arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-07-14
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Injection site pain, Pain — Feeling: GoodFree text: About 2 months after vaccine, injection site started hurting deep into muscle. May be due to administration of shot. Still gets aggravated when i stretch my arm.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Injection site reaction, Joint range of motion decreased, Muscle disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My right arm muscle ( around injection site) has been having issues since 2nd shot, range and motion is limited. Area is between shoulder and bicepMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Release 6 — day 28, dose 2
Symptoms: Pain in muscle where injection was given, when lifting arm.
Release 9 — 6 months, dose 2
Symptoms: About 2 months after vaccine, injection site started hurting deep into muscle. May be due to administration of shot. Still gets aggravated when i stretch my arm.
Release 11 — 12 months, dose 2
Symptoms: My right arm muscle ( around injection site) has been having issues since 2nd shot, range and motion is limited. Area is between shoulder and bicep
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | · | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Joint range of motion decreased | · | · | ✓ |
| SD | Muscle disorder | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release