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6QU-11699-54444

2 vaccinations 3 coded responses 3 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
956 / CA
Registered
2021-04-22
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-04-20
    Dose 2 — Moderna
  3. 2021-04-22
    Registered in v-safe
  4. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Pulsing or spasm in my left calf and other parts of my body not sure if it's my veins or muscles today. Back pain today and yesterday. Left side of chest/heart skip beat or a spasms a few times.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Limb mass, Muscular weakness — Feeling: Good
    Free text: Knee feels like i have a lump when i walk.... it started second day after shot.... started with knee weakness on both knees then just a strange feeling on my left knee as if i had a lump inside
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-28
    Survey response — day 7, dose 2
    MedDRA: Asthenia, Mass — Feeling: Good
    Free text: Knees feel little weak. Still feel lump on my left knee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Pulsing or spasm in my left calf and other parts of my body not sure if it's my veins or muscles today. Back pain today and yesterday. Left side of chest/heart skip beat or a spasms a few times.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Knee feels like i have a lump when i walk.... it started second day after shot.... started with knee weakness on both knees then just a strange feeling on my left knee as if i had a lump inside

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Knees feel little weak. Still feel lump on my left knee

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
SROAsthenia ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROLimb mass ✓ ✓ ✓
SROMass ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓

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