26W-21808-36036
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 990 / WA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Just some arm soreness. Mild symptomMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Pain of skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Skin tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-05-12
Survey response — 3 months, dose 2MedDRA: Arthralgia, X-ray — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Extremely painful joints that coincided with the vaccine. I have been to the doctors and have had blood work and X-rays and all came back negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-11
Survey response — 6 months, dose 2MedDRA: Arthralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme joint pain in knees, shoulders, hips, wrists and hands. I have had blood work and X-rays and nothing shows to support the amount of pain that I have experienced. I have had several cortisone shops and a couple rounds of prednisone pills. · Healthcare visit (other): Family doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
-
2021-08-19
Call successfulCompleted over the phone
- 2022-02-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Just some arm soreness. Mild symptom
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Skin tenderness
Release 8 — 3 months, dose 2
Symptoms: Extremely painful joints that coincided with the vaccine. I have been to the doctors and have had blood work and X-rays and all came back negative.
Release 9 — 6 months, dose 2
Symptoms: Extreme joint pain in knees, shoulders, hips, wrists and hands. I have had blood work and X-rays and nothing shows to support the amount of pain that I have experienced. I have had several cortisone shops and a couple rounds of prednisone pills.
Healthcare visit (other): Family doctor
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 | Office visit | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | X-ray | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release