28Y-24894-12180
4 vaccinations
13 coded responses
35 check-ins
13 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 100 / NY
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
- 2021-01-31
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2021-04-02
Dose 1 — Moderna
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2021-04-08
Registered in v-safe
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-04-17
Survey response — day 14, dose 1MedDRA: Arthralgia, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Join pain specially my knees are killing me i cant bent them when sit down and get up intense pain in both kneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 21, dose 1MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My knees are killing me painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Dose 2 — Moderna
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2021-05-14
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Intense for only the second dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pain in extremity, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: My knees since I hade both are killing me i have arthritis but now very very bad same time pain all feet leg and knee caps both kneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Join pain knees pain foot painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Legs pain knee pain feet painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 7, dose 2MedDRA: Arthritis, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Same leg pain foot pain bad arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
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2021-06-04
Survey response — day 21, dose 2MedDRA: Dysgeusia, Office visit, Parosmia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sensation smell in my nose Fanny taste I my throat · Healthcare visit (other): EntMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-11
- 2021-06-20
- 2021-06-25
- 2021-11-12
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2022-01-23
Dose 3 — Moderna
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2022-01-24
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Knee intense painMedDRA releases: 2024-11 · check-in free text available
- 2022-01-25
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2022-01-27
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Knee pain intenseMedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Fair · Joint pains, Muscle or body achesFree text: Knee pain none stopMedDRA releases: 2024-11 · check-in free text available
- 2022-01-28
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2022-01-29
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Fair · Joint pains · Be unable to work or attend schoolFree text: Only knee painMedDRA releases: 2024-11 · check-in free text available
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2022-01-30
Survey response — day 7, dose 3MedDRA: Arthralgia — Feeling: Fair · Joint painsFree text: Only knees painMedDRA releases: 2024-11 · check-in free text available
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2022-01-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-06
- 2022-02-13
- 2022-02-20
- 2022-02-27
- 2022-03-06
- 2022-04-24
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2022-05-27
Dose 4 — Moderna
- 2022-06-23
- 2022-06-26
- 2022-07-01
- 2022-07-08
- 2022-08-26
- 2023-05-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2022-01-23 | Moderna | No |
| 4 | 2022-05-27 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 1
Symptoms: Join pain specially my knees are killing me i cant bent them when sit down and get up intense pain in both knees
Release 7 — day 21, dose 1
Symptoms: My knees are killing me pain
Release 8 — day 0, dose 2
Systemic reaction (other): Intense for only the second day
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My knees since I hade both are killing me i have arthritis but now very very bad same time pain all feet leg and knee caps both knees
Systemic reaction (other): Join pain knees pain foot pain
Systemic reaction (other): Legs pain knee pain feet pain
Release 8 — day 7, dose 2
Systemic reaction (other): Same leg pain foot pain bad arthritis
Release 8 — day 21, dose 2
Symptoms: Sensation smell in my nose Fanny taste I my throat
Healthcare visit (other): Ent
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Knee intense pain
Systemic reaction (other): Knee pain intense
Systemic reaction (other): Knee pain none stop
Systemic reaction (other): Only knee pain
Release 11 — day 7, dose 3
Systemic reaction (other): Only knees pain
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 | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Parosmia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release