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6LV-26280-14096

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
152 / PA
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-01-23
    Registered in v-safe
  3. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Impaired work ability, Injection site pain, Limb discomfort — Feeling: Good · Be unable to do your normal daily activities
    Free text: Last evening where my injection site was felt exceptionally sore compared to any other day, had radiating discomfort that almost reminded me of neuropathy type discomfort above injection site Dow entire arm to fingers to point I could not finish typing my work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Impaired work ability, Injection site reaction, Pain — Feeling: Fair
    Free text: Radiating discomfort above injection site clear to fingers that affect my impedes my typing on computer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-05
    Survey response — day 14, dose 1
    MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Good
    Free text: Arm is still hurting and have periodic numbing tingling sensation down arm to fingers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-12
    Survey response — day 21, dose 1
    MedDRA: Dizziness, Feeling of body temperature change, Headache, Impaired work ability, Nausea — Feeling: Good · Be unable to work
    Free text: On Sunday, Monday and Tuesday 2/7, 8 and 9Had splitting headache, nausea, hot and cold, dizziness...called off work 2/8 and 2/9
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-19
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-20
    Dose 2 — Moderna
  13. 2021-02-28
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-03-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-23
    Survey response — 3 months, dose 2
    MedDRA: Migraine, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: migraine headaches · Healthcare visit (other): PCP visit at office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-23
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Arthritis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: inflammatory Arthritis · Healthcare visit (other): PCP referral to Rheumatologist
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-08-25
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-08-30
  24. 2021-09-07
    Dose 3 — Moderna
  25. 2021-12-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-03-10
    Survey response — 6 months, dose 3
    MedDRA: Neuropathy peripheral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: neuropathy · Healthcare visit (other): Neurologist consult in person
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-03-10
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2022-03-11
  29. 2022-09-11
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-20Moderna
32021-09-07Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Last evening where my injection site was felt exceptionally sore compared to any other day, had radiating discomfort that almost reminded me of neuropathy type discomfort above injection site Dow entire arm to fingers to point I could not finish typing my work

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Radiating discomfort above injection site clear to fingers that affect my impedes my typing on computer

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Arm is still hurting and have periodic numbing tingling sensation down arm to fingers

Release 4 — day 21, dose 1

2021-02-12

Symptoms: On Sunday, Monday and Tuesday 2/7, 8 and 9Had splitting headache, nausea, hot and cold, dizziness...called off work 2/8 and 2/9

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: migraine headaches
Healthcare visit (other): PCP visit at office

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: inflammatory Arthritis
Healthcare visit (other): PCP referral to Rheumatologist

Release 11 — 6 months, dose 3

2022-03-10

Symptoms: neuropathy
Healthcare visit (other): Neurologist consult in person

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
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event ✓ · ✓
SDArthritis ✓ · ✓
SDDizziness ✓ ✓ ✓
SDFeeling of body temperature change ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDNeuropathy peripheral · · ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROPain ✓ ✓ ✓

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