YJ9-23017-32551
1 vaccination
3 coded responses
4 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 354 / AL
- Registered
- 2021-08-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
RU8-27221-05480
Child or adolescent in my care · Female · 2021-08-02
Timeline
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2021-07-31
Dose 1 — Moderna
-
2021-08-02
Registered in v-safe
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2021-08-02
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Muscle spasms, Muscle tightness, Muscle twitching, Tic — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: I've gad a headache every day since getting the vaccine, but even more concerning, ive had extreme muscle tension and spasms in the back of my neck into the base of my head. I have this twitching sensation (tick), of some kind that has been bothersomMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-04
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Head discomfort, Muscle discomfort, Musculoskeletal discomfort, Nervousness — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I continue to have an uncomfortable feeling in my neck muscle and pressure in the base of my head and left shoulder. I'm nervous feeling inside to the point it becomes very bothersome. I woke up this morning with pain under my left armpit as well.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-14
Survey response — day 14, dose 1MedDRA: Blood urine present, Headache, Medical counselling, Muscle twitching, Neck pain, Nervous system disorder, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm still having muscle twitching, nerve issues and some pain running up the back of my neck into the vase of my head. Newest issue is I've had a severe urinary tract infection with blood. This problem occurred about 3 weeks ago. I'm on antibiotics. · Healthcare visit (other): Dr. called in medicine based on ky symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-14
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-21
-
2021-08-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-31 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-14 | Successful 2021-08-23 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I've gad a headache every day since getting the vaccine, but even more concerning, ive had extreme muscle tension and spasms in the back of my neck into the base of my head. I have this twitching sensation (tick), of some kind that has been bothersom cut off by CDC
Systemic reaction (other): I continue to have an uncomfortable feeling in my neck muscle and pressure in the base of my head and left shoulder. I'm nervous feeling inside to the point it becomes very bothersome. I woke up this morning with pain under my left armpit as well. cut off by CDC
Release 9 — day 14, dose 1
Symptoms: I'm still having muscle twitching, nerve issues and some pain running up the back of my neck into the vase of my head. Newest issue is I've had a severe urinary tract infection with blood. This problem occurred about 3 weeks ago. I'm on antibiotics. cut off by CDC
Healthcare visit (other): Dr. called in medicine based on ky symptoms
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 | Medical counselling | ✓ | · | ✓ |
| SD | Blood urine present | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Muscle twitching | ✓ | · | ✓ |
| SD | Neck pain | ✓ | · | ✓ |
| SD | Nervous system disorder | ✓ | · | ✓ |
| SD | Urinary tract infection | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | · | ✓ |
| SRO | Head discomfort | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Muscle discomfort | ✓ | · | ✓ |
| SRO | Muscle spasms | ✓ | · | ✓ |
| SRO | Muscle tightness | ✓ | · | ✓ |
| SRO | Muscle twitching | ✓ | · | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | · | ✓ |
| SRO | Nervousness | ✓ | · | ✓ |
| SRO | Tic | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release