2KR-32380-73352

4 vaccinations 8 coded responses 23 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 420 / KY
Registered: 2020-12-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Moderna
2021-01-23
Dose 2 — Moderna
2021-01-23
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Headache

Free text: Barely

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Injection site swelling — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: My joint above the injection site is swollen, painful, and has been for several days? Has anyone else had this complaint?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Tinge of headache on and off til last pm and had headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 42, dose 2
MedDRA: Headache, Pain, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Righr sides pain, from the top of my head to the bottom of my foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Survey response — 3 months, dose 2
MedDRA: Bronchitis, Sinusitis, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Ive had allergy symptoms, bronchotis, sinusitis · Healthcare visit (other): Rx for anyibiotic after antihistamines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-12
Dose 3 — Moderna
2022-01-23
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-02-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-11-04
Dose 4 — Moderna
2022-11-07
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Gait disturbance, Joint instability, Joint noise — Feeling: Poor · Fever · Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: This started 2 hours after the shot was given. It was fiven in R dorsigluteal. My R knee and ankle became so sore I could barely walk. My ankle felt like it was twisting. I clearly had no injury. My kneecap clicked in various places when i walke

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Joint noise, Nausea — Feeling: Fair · Joint pains, Nausea

Free text: Just a bout of nausea this am, knee right side, still achy and clicks.

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Survey response — day 7, dose 4
MedDRA: Joint noise — Feeling: Good · Muscle or body aches

Free text: Not as much clicking in R knee still there though, never there before

MedDRA releases: 2024-11 · check-in free text available
2022-11-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-05-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-23	Moderna
3	2021-11-12	Moderna	No
4	2022-11-04	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Barely

2021-01-28

Systemic reaction (other): My joint above the injection site is swollen, painful, and has been for several days? Has anyone else had this complaint?

Release 3 — day 7, dose 2

2021-01-30

Systemic reaction (other): Tinge of headache on and off til last pm and had headache

Release 5 — day 42, dose 2

2021-03-06

Symptoms: Righr sides pain, from the top of my head to the bottom of my foot

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: Ive had allergy symptoms, bronchotis, sinusitis

Healthcare visit (other): Rx for anyibiotic after antihistamines

Release 12 — days 1–6 daily, dose 4

2022-11-07

Systemic reaction (other): This started 2 hours after the shot was given. It was fiven in R dorsigluteal. My R knee and ankle became so sore I could barely walk. My ankle felt like it was twisting. I clearly had no injury. My kneecap clicked in various places when i walke cut off by CDC

2022-11-09

Systemic reaction (other): Just a bout of nausea this am, knee right side, still achy and clicks.

Release 12 — day 7, dose 4

2022-11-14

Systemic reaction (other): Not as much clicking in R knee still there though, never there before

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	Unevaluable event	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	Headache	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Gait disturbance	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Joint instability	·	·	✓
SRO	Joint noise	·	·	✓
SRO	Nausea	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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