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6ML-98999-83179

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
315 / GA
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Injection site pain, Mobility decreased, Neck pain, Pain, Pain in extremity, Sleep disorder — Feeling: Good · Site: Pain
    Free text: I forgot to mention - the first day, about 1 hour afrer the shot, I had a knife-like pain that radiated upward to my neck from the injection site. That lasted 30 minutes or so and was throbbing. Later that night I again experienced a radiating, throbbing pain from my neck up to my left ear. That sharp pain lasted most of the night and kept me awake the entire time. My arm became so sore and painful during that time I was unable to lift it to remove the sweat shirt I was wearing. The following day after the shot, the pain in my left arm was moderate all day. Today it is mild and no pain in my neck, jaw or ear.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Neck pain — Feeling: Good
    Free text: Pain radiating on and off from neck to left ear. Not as bad as it was the first night. Happened several times during the day and last night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-19
    Dose 2 — Moderna
  13. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Chills, Fatigue, Hyperhidrosis, Pyrexia, Self-medication, Sleep disorder, Tremor — Feeling: Fair · Site: Pain · Fever · Be unable to do your normal daily activities
    Free text: I got the shot on the 19th at 2:30 p.m. 11 hours later, 1:30 a.m. on the 20th I started sweating and felt feverish for 30 minutes. Then at 4 am I began having severe chills. My body trembled uncontrolably and my teeth chattered for 1 1/2 hours. I bundled up under several blankets but nothing helped. Then I took an advil at 5 am and by 5:30 am the trembling subsided. Then, all day yesterday, the 20th, My lower back kept zinging me with painful jabs that each lasted about 10 seconds. This kept happening about every 5 minutes throughout the day and night. More advil and I finally went to sleep. Today, the 21st, I just feel a bit worn out.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal discomfort, Self-medication — Feeling: Good
    Free text: Beginning at noon today, zinging in my lower back again every 5 min or so. Feels like an electric shock. Lasts a second or 2 every 5 min. Took advil and it subsided.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): I forgot to mention - the first day, about 1 hour afrer the shot, I had a knife-like pain that radiated upward to my neck from the injection site. That lasted 30 minutes or so and was throbbing. Later that night I again experienced a radiating, throbbing pain from my neck up to my left ear. That sharp pain lasted most of the night and kept me awake the entire time. My arm became so sore and painful during that time I was unable to lift it to remove the sweat shirt I was wearing. The following day after the shot, the pain in my left arm was moderate all day. Today it is mild and no pain in my neck, jaw or ear.

2021-01-26

Systemic reaction (other): Pain radiating on and off from neck to left ear. Not as bad as it was the first night. Happened several times during the day and last night.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): I got the shot on the 19th at 2:30 p.m. 11 hours later, 1:30 a.m. on the 20th I started sweating and felt feverish for 30 minutes. Then at 4 am I began having severe chills. My body trembled uncontrolably and my teeth chattered for 1 1/2 hours. I bundled up under several blankets but nothing helped. Then I took an advil at 5 am and by 5:30 am the trembling subsided. Then, all day yesterday, the 20th, My lower back kept zinging me with painful jabs that each lasted about 10 seconds. This kept happening about every 5 minutes throughout the day and night. More advil and I finally went to sleep. Today, the 21st, I just feel a bit worn out.

2021-02-24

Systemic reaction (other): Beginning at noon today, zinging in my lower back again every 5 min or so. Feels like an electric shock. Lasts a second or 2 every 5 min. Took advil and it subsided.

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
SROBack pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROMusculoskeletal discomfort ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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