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ZEB-31657-58412

4 vaccinations 8 coded responses 51 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
125 / NY
Registered
2021-04-09
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Moderna
  3. 2021-04-09
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: The pain around where the shot was injected has intensified since yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Really bad headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-07
    Dose 2 — Moderna
  14. 2021-05-07
    Survey response — day 0, dose 2
    MedDRA: Injection site pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Arm is very sore around injection site in upper arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms, Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Charlie horse in my neck. My neck is very stiff
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: Major joint pain in shoulder and neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Middle insomnia, Self-medication — Feeling: Good · Site: Pain · Joint pains · Be unable to work, Be unable to do your normal daily activities
    Free text: Yesterday and last night, I had severe pain in my shoulder joints, particularly opposite the side of the injection. I woke up in the middle of the night it hurt so much. I took ibuprofen and it went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains
    Free text: Joint pain in shoulder joint opposite side with injection. Nearly non-existent during the day, returns in the evening/night. But much less painful today as compared to yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-29
    Dose 3 — Moderna
    Co-administered: Flu
  29. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  30. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-09-15
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  44. 2022-09-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Joint stiffness — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Joint stiffness in neck and back
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache
    Adult check-in
  47. 2022-09-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-09-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-09-24
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-09-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-10-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-10-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-10-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-10-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-12-17
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-03-21
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-07Moderna
32021-10-29Moderna Flu
42022-09-15Pfizer-BioNTech Flu

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): The pain around where the shot was injected has intensified since yesterday.

2021-04-11

Systemic reaction (other): Really bad headache

Release 8 — day 0, dose 2

2021-05-07

Systemic reaction (other): Arm is very sore around injection site in upper arm

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Charlie horse in my neck. My neck is very stiff

2021-05-09

Systemic reaction (other): Major joint pain in shoulder and neck

2021-05-10

Systemic reaction (other): Yesterday and last night, I had severe pain in my shoulder joints, particularly opposite the side of the injection. I woke up in the middle of the night it hurt so much. I took ibuprofen and it went away.

2021-05-11

Systemic reaction (other): Joint pain in shoulder joint opposite side with injection. Nearly non-existent during the day, returns in the evening/night. But much less painful today as compared to yesterday.

Release 12 — days 1–6 daily, dose 4

2022-09-16

Systemic reaction (other): Joint stiffness in neck and back

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
SROArthralgia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROJoint stiffness · · ✓
SROMiddle insomnia ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ○
SROSelf-medication ✓ ✓ ✓

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