2HL-14652-15041
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 465 / IN
- Registered
- 2021-09-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-08-31
Dose 1 — Moderna
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2021-09-03
Registered in v-safe
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2021-09-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, NauseaAdult check-in
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2021-09-04
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Back pain, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, NauseaFree text: Back and knee pain. Pain in body here and there.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-09-09
Health check-in — day 7, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-14
- 2021-09-21
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2021-09-28
Survey response — day 28, dose 1MedDRA: Arthralgia, Back pain, Paraesthesia — Feeling: FairFree text: Tingling and pain in back and shoulder on right hand side of body.MedDRA releases: 2024-11 · check-in free text available
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2021-09-29
Dose 2 — Moderna
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2021-10-12
Survey response — day 7, dose 2MedDRA: Arthralgia, Back pain, Pain, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Stabbing pain, pins and needles sensation in back and shoulder, extreme knee pain and overall painMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2021-10-13
Survey response — day 14, dose 2MedDRA: Arthralgia, Paraesthesia, Spinal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Extreme pain in right knee and base of spine. Continued pins and needles sensation right hand side of body.MedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-15
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-10-20
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2021-10-27
Survey response — day 28, dose 2MedDRA: Inflammation, Joint swelling, Office visit — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Swelling of knee since 2nd injection of Covid vaccine due to inflammation. Appt today with orthopedic dr who administered steroid shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-31 | Moderna | No |
| 2 | 2021-09-29 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Back and knee pain. Pain in body here and there.
Release 9 — day 28, dose 1
Symptoms: Tingling and pain in back and shoulder on right hand side of body.
Release 10 — day 7, dose 2
Systemic reaction (other): Stabbing pain, pins and needles sensation in back and shoulder, extreme knee pain and overall pain
Release 10 — day 14, dose 2
Symptoms: Extreme pain in right knee and base of spine. Continued pins and needles sensation right hand side of body.
Release 10 — day 28, dose 2
Symptoms: Swelling of knee since 2nd injection of Covid vaccine due to inflammation. Appt today with orthopedic dr who administered steroid shot.
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 | Back pain | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Back pain | ✓ | · | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release