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6UV-18857-24797

2 vaccinations 6 coded responses 11 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
599 / MT
Registered
2021-04-22
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-15
    Dose 1 — Moderna
  2. 2021-04-22
    Registered in v-safe
  3. 2021-04-22
    Survey response — day 7, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Arm was sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-13
    Dose 2 — Moderna
  7. 2021-05-27
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Dizziness, Injection site pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: Joint pain, light headed. Injection site and arm pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-06-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-06-17
    Survey response — day 35, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Joint pain on ankles, knees, hips, wrist and shoulders. This is unexplained, I do not suffer from any diagnosed illnesses and never had this problem before until the day after taking the second dosage of the Moderna.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-25
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Discomfort — Feeling: Good · Be unable to do your normal daily activities
    Free text: Joint pain and discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-08-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-11-13
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Cough, Dysphonia, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Congestión, headache, lack of energy, coughing, sore throat, scratchy vohce for 6+ weeks
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-05-15
    Survey response — 12 months, dose 2
    MedDRA: Anxiety, Depression, Diarrhoea, Insomnia, Weight decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Extreme anxiety, depression. Diarrhea, weight loss. Can't sleep. Very vulnerable to viruses.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-05-15
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-05-16

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-13Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-22

Systemic reaction (other): Arm was sore

Release 8 — day 14, dose 2

2021-05-27

Symptoms: Joint pain, light headed. Injection site and arm pain.

Release 9 — day 35, dose 2

2021-06-17

Symptoms: Joint pain on ankles, knees, hips, wrist and shoulders. This is unexplained, I do not suffer from any diagnosed illnesses and never had this problem before until the day after taking the second dosage of the Moderna.

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Joint pain and discomfort

Release 10 — 6 months, dose 2

2021-11-13

Symptoms: Congestión, headache, lack of energy, coughing, sore throat, scratchy vohce for 6+ weeks

Release 11 — 12 months, dose 2

2022-05-15

Symptoms: Extreme anxiety, depression. Diarrhea, weight loss. Can't sleep. Very vulnerable to viruses.

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
SDAnxiety · · ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia · · ✓
SDCough · · ✓
SDDepression · · ✓
SDDiarrhoea · · ✓
SDDiscomfort ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDysphonia · · ✓
SDHeadache · · ✓
SDInjection site pain ✓ ✓ ✓
SDInsomnia · · ✓
SDOropharyngeal pain · · ✓
SDPain in extremity ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDWeight decreased · · ✓
SROPain in extremity ✓ ✓ ✓

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