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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

  1. 2021-05-12
    Dose 1 — Moderna
  2. 2021-05-13
    Registered in v-safe
  3. 2021-05-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Diarrhea
    Adult check-in
  4. 2021-05-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Muscle strain, Musculoskeletal pain — Feeling: Fair · Muscle or body aches
    Free 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
  5. 2021-05-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  6. 2021-05-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-05-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  8. 2021-05-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-06-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-09
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Mobility decreased, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  13. 2021-06-11
    Dose 2 — Moderna
  14. 2021-06-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Diarrhea
    Adult check-in
  15. 2021-06-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Diarrhea
    Adult check-in
  16. 2021-06-18
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  17. 2021-06-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-02
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free 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
  19. 2021-07-02
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-07-07
  21. 2021-07-09
    Survey response — day 28, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Painful hip joints
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-07-12
  23. 2021-07-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-16
    Call successful
    Participant prefers to complete VAERS report online
  25. 2021-07-23
    Survey response — day 42, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free text: Very sore hip and knee joints
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-09-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-10
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2022-06-11
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Sore joints
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-12Moderna
22021-06-11Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-14

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

2021-06-09

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

2021-07-02

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

2021-07-09

Symptoms: Painful hip joints

Release 9 — day 42, dose 2

2021-07-23

Symptoms: Very sore hip and knee joints

Release 12 — 12 months, dose 2

2022-06-11

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDDry skin ✓ ✓ ✓
SDHypoaesthesia oral ✓ ✓ ✓
SDLip dry ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDParaesthesia oral ✓ ✓ ✓
SDTongue discomfort ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROMuscle strain ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓

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