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6RM-82790-63929

3 vaccinations 5 coded responses 23 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
483 / MI
Registered
2021-03-08
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-03-08
    Registered in v-safe
  3. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Gait disturbance, Myalgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: intermittent joint & muscle pains that causes inability to walk on the left side of my body only.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  7. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good · Muscle or body aches
    Free text: Left side only; periodic pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-14
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Musculoskeletal pain, Pain in extremity, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: I take Ibuprofen; pains left side leg, buttocks, shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-21
    Survey response — day 14, dose 1
    MedDRA: Dysstasia, Myalgia, Self-medication — Feeling: Good
    Free text: I still have muscle pains left side only. I take 2 ibuprofens daily which relieves pain. Sitting for a while its difficult to stand, after awhile the pain subsides, then I can walk. I believe, I should contact my Doctor Monday, 3/22/21.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-28
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-03
    Dose 2 — Moderna
  12. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia — Feeling: Good · Muscle or body aches
    Free text: Mild muscle pain Left side only
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-24
    Dose 3 — Moderna
  25. 2021-10-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-08-24
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna
32021-08-24Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): intermittent joint & muscle pains that causes inability to walk on the left side of my body only.

2021-03-12

Systemic reaction (other): Left side only; periodic pain

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): I take Ibuprofen; pains left side leg, buttocks, shoulder

Release 6 — day 14, dose 1

2021-03-21

Symptoms: I still have muscle pains left side only. I take 2 ibuprofens daily which relieves pain. Sitting for a while its difficult to stand, after awhile the pain subsides, then I can walk. I believe, I should contact my Doctor Monday, 3/22/21.

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Mild muscle pain Left side only

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
SDDysstasia ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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