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
-
2020-12-29
Dose 1 — Moderna
-
2021-01-26
Dose 2 — Moderna
-
2021-04-28
Registered in v-safe
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
-
2021-04-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
-
2021-12-27
Dose 3 — Moderna
-
2022-01-26
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Pregnancy, Surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I miscarried in august of 2021 and have since had another positive pregnancy test. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-01-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-07-14
Dose 4 — Moderna
-
2022-10-13
Survey response — 3 months, dose 4MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint achesMedDRA releases: 2024-11 · check-in free text available
-
2023-01-12
Survey response — 6 months, dose 4MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-12-27 | Moderna | No |
| 4 | 2022-07-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Surgery | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release