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AMX-38214-21147

4 vaccinations 4 coded responses 5 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
442 / OH
Registered
2021-04-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
8KL-77281-55610 Child or adolescent in my care · Female · 2022-07-01

Timeline

  1. 2020-12-29
    Dose 1 — Moderna
  2. 2021-01-26
    Dose 2 — Moderna
  3. 2021-04-28
    Registered in v-safe
  4. 2021-04-28
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Joint pain starting in the arm I got the vaccine in and migrating to the other arm. Shoulder, elbow and wrist. Now I have left hip pain and left lower back pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-28
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-07-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-12-27
    Dose 3 — Moderna
  8. 2022-01-26
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous, Pregnancy, Surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: I miscarried in august of 2021 and have since had another positive pregnancy test. · Healthcare visit (other): Surgery
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-26
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  10. 2022-01-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  11. 2022-07-14
    Dose 4 — Moderna
  12. 2022-10-13
    Survey response — 3 months, dose 4
    MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Joint aches
    MedDRA releases: 2024-11 · check-in free text available
  13. 2023-01-12
    Survey response — 6 months, dose 4
    MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna
32021-12-27Moderna No
42022-07-14Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-28 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-26 Successful
2022-01-28
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Joint pain starting in the arm I got the vaccine in and migrating to the other arm. Shoulder, elbow and wrist. Now I have left hip pain and left lower back pain.

Release 11 — 12 months, dose 2

2022-01-26

Symptoms: I miscarried in august of 2021 and have since had another positive pregnancy test.
Healthcare visit (other): Surgery

Release 12 — 3 months, dose 4

2022-10-13

Symptoms: Joint aches

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
HCVOSurgery · · ✓
SDAbortion spontaneous · · ✓
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDCough · · ✓
SDPain in extremity ✓ ✓ ✓
SDPregnancy · · ✓
SDRespiratory tract congestion · · ✓

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