ZUB-14706-47917
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 537 / WI
- Registered
- 2021-05-13
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-12
Dose 1 — Moderna
-
2021-05-13
Registered in v-safe
-
2021-05-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, DiarrheaAdult check-in
-
2021-05-14
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Muscle strain, Musculoskeletal pain — Feeling: Fair · Muscle or body achesFree text: Painful area on mid back left side only, like muscle strain between shoulder blade and bottom of ribs. Came on suddenly and has been persistent all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-26
- 2021-06-02
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2021-06-09
Survey response — day 28, dose 1MedDRA: Arthralgia, Mobility decreased, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very painful joints. I have had to immobilize my left thumb by taping to index finger due to sharpness of the pain if I use a grip movement. Right hand hurts too but cant immobilize both. Also painful knee and shoulder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Dose 2 — Moderna
- 2021-06-16
- 2021-06-17
- 2021-06-18
- 2021-06-25
-
2021-07-02
Survey response — day 21, dose 2MedDRA: Dry skin, Hypoaesthesia oral, Lip dry, Paraesthesia, Paraesthesia oral, Tongue discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Crazy burning and tingling of tongue. Some tongue numbness. Also tingling and dryness on inside of lips and cheeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-02
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
-
2021-07-09
Survey response — day 28, dose 2MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Painful hip jointsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
- 2021-07-16
-
2021-07-16
Call successfulParticipant prefers to complete VAERS report online
-
2021-07-23
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Very sore hip and knee jointsMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-10
- 2021-12-10
-
2022-06-11
Survey response — 12 months, dose 2MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore jointsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-12 | Moderna | |
| 2 | 2021-06-11 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Painful area on mid back left side only, like muscle strain between shoulder blade and bottom of ribs. Came on suddenly and has been persistent all day.
Release 9 — day 28, dose 1
Symptoms: Very painful joints. I have had to immobilize my left thumb by taping to index finger due to sharpness of the pain if I use a grip movement. Right hand hurts too but cant immobilize both. Also painful knee and shoulder.
Release 9 — day 21, dose 2
Symptoms: Crazy burning and tingling of tongue. Some tongue numbness. Also tingling and dryness on inside of lips and cheeks.
Release 9 — day 28, dose 2
Symptoms: Painful hip joints
Release 9 — day 42, dose 2
Symptoms: Very sore hip and knee joints
Release 12 — 12 months, dose 2
Symptoms: Sore joints
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Lip dry | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Paraesthesia oral | ✓ | ✓ | ✓ |
| SD | Tongue discomfort | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Muscle strain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release