ZMF-12673-15781
3 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 972 / OR
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Neck pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Soreness in neck/shoulder area above injection pointMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction — Feeling: Good · Site: Pain · Muscle or body achesFree text: Neck/shoulder area on injection side; also elbow area below injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Myalgia, Neck pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Continued soreness at injection site and in neck muscles above injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body achesFree text: Neck and shoulder area above injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Slight muscle pain in neck area above injection pointMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-08
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2021-04-13
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Itchy around injection site - nothing dramaticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-27
Dose 2 — Moderna
- 2021-04-27
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Muscles in neck area on injection side of body continue to be sore since injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-13
- 2021-05-18
- 2021-05-27
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
-
2021-12-11
Dose 3 — Moderna
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness in neck/shoulder area above injection point
Systemic reaction (other): Neck/shoulder area on injection side; also elbow area below injection site.
Systemic reaction (other): Continued soreness at injection site and in neck muscles above injection side
Systemic reaction (other): Neck and shoulder area above injection site
Systemic reaction (other): Slight muscle pain in neck area above injection point
Release 7 — day 14, dose 1
Symptoms: Itchy around injection site - nothing dramatic
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Muscles in neck area on injection side of body continue to be sore since injection
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 |
|---|---|---|---|---|
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release