2R9-22258-76535
5 vaccinations
19 coded responses
45 check-ins
18 free-text entries
11 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Joint swelling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Knee swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: R knee swelling & painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Joint swelling — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Swollen R kneeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: R knee swelling and painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Joint swelling — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Swollen R kneeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-23
Survey response — day 7, dose 1MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: R knee swelling and painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-02
Survey response — day 14, dose 1MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: R knee swelling & pain. Starting physical therapy next week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
-
2021-03-23
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-30
-
2021-04-06
Survey response — day 21, dose 2MedDRA: Bursitis, Joint swelling, Office visit, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: R knee swelling since 1st vaccine. PT did not help. L hip bursitis. · Healthcare visit (other): PCP office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
-
2021-04-20
Survey response — day 35, dose 2MedDRA: Arthralgia, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Arthritis exacerbation Carpal tunnel syndromeSevere IBSR knee pain which started with the 1st dose: all joints were swollen then Today is just not a good day · Healthcare visit (other): Physician officesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-27
Survey response — day 42, dose 2MedDRA: Arthralgia, Contusion, Joint swelling, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: R knee pain/swelling which began with 1st doseL hip pain/bursitis · Healthcare visit (other): Physician officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-05
-
2021-06-15
Survey response — 3 months, dose 2MedDRA: Joint swelling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: R knee swelling that started with first dose. Surgery is scheduled. · Healthcare visit (other): PCP and surgeon officesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-15
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-21
Call successfulParticipant prefers to complete VAERS report online
-
2021-06-21
Call successfulParticipant prefers to complete VAERS report online
-
2021-06-21
Call successfulParticipant prefers to complete VAERS report online
-
2021-06-21
Call successfulParticipant prefers to complete VAERS report online
-
2021-06-21
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-14
Survey response — 6 months, dose 2MedDRA: Joint swelling, Meniscus removal, Office visit, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: R knee swelling continues even after meniscectomy. Swelling started with first dose and never resolved. · Healthcare visit (other): Physician visit & surgeryMedDRA releases: 2024-11 · check-in free text available
-
2021-09-14
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-09-15
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-13
- 2021-11-18
- 2021-11-26
- 2021-12-02
- 2021-12-10
- 2022-01-27
-
2022-04-07
Dose 4 — ModernaCo-administered: Other
- 2022-04-19
- 2022-04-21
- 2022-04-29
- 2022-05-05
- 2022-05-12
- 2022-05-19
-
2022-06-21
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-07
-
2022-09-17
Dose 5 — Moderna
-
2022-09-29
Survey response — day 7, dose 5MedDRA: Oedema peripheral — Feeling: Fair · Site: PainFree text: BLE edemaMedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Survey response — day 14, dose 5MedDRA: Dyspnoea, Fatigue, Oedema peripheral — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue. BLE edema. SOB.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-08
Survey response — day 21, dose 5MedDRA: Dyspnoea, Fatigue, Oedema — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Exhaustion Severe edema Shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2022-10-16
Survey response — day 28, dose 5MedDRA: Kidney infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Kidney infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-16
Report sent to call center — day 28, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-17
- 2022-10-23
-
2022-10-29
Survey response — day 42, dose 5MedDRA: Abdominal pain upper — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: LUQ painMedDRA releases: 2024-11 · check-in free text available
-
2022-10-29
Report sent to call center — day 42, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-31
- 2022-10-31
-
2022-12-17
Survey response — 3 months, dose 5MedDRA: Hepatomegaly, Magnetic resonance imaging abnormal, Pulmonary function test decreased, Renal cyst — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PFT: Lung age 80. I am 69 years old. MRI: Cysts on kidneys. Enlarged liver.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-20
- 2022-12-20
- 2022-12-20
-
2023-03-18
Survey response — 6 months, dose 5MedDRA: Abdominal pain upper, Aspiration, Dysphagia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-18
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-20
- 2023-03-20
- 2023-03-20
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-07 | Moderna | Other |
| 5 | 2022-09-17 | Moderna | No |
Call center
11 call center cases
7 successful · 4 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Knee swelling
Systemic reaction (other): R knee swelling & pain
Systemic reaction (other): Swollen R knee
Systemic reaction (other): R knee swelling and pain
Systemic reaction (other): Swollen R knee
Release 4 — day 7, dose 1
Systemic reaction (other): R knee swelling and pain
Release 4 — day 14, dose 1
Symptoms: R knee swelling & pain. Starting physical therapy next week.
Release 7 — day 21, dose 2
Symptoms: R knee swelling since 1st vaccine. PT did not help. L hip bursitis.
Healthcare visit (other): PCP office visit
Release 7 — day 35, dose 2
Symptoms: Arthritis exacerbation Carpal tunnel syndromeSevere IBSR knee pain which started with the 1st dose: all joints were swollen then Today is just not a good day
Healthcare visit (other): Physician offices
Release 8 — day 42, dose 2
Symptoms: R knee pain/swelling which began with 1st doseL hip pain/bursitis
Healthcare visit (other): Physician office
Release 9 — 3 months, dose 2
Symptoms: R knee swelling that started with first dose. Surgery is scheduled.
Healthcare visit (other): PCP and surgeon offices
Release 9 — 6 months, dose 2
Symptoms: R knee swelling continues even after meniscectomy. Swelling started with first dose and never resolved.
Healthcare visit (other): Physician visit & surgery
Release 12 — day 7, dose 5
Systemic reaction (other): BLE edema
Release 12 — day 14, dose 5
Symptoms: Fatigue. BLE edema. SOB.
Release 12 — day 21, dose 5
Symptoms: Exhaustion Severe edema Shortness of breath
Release 12 — day 28, dose 5
Symptoms: Kidney infection
Release 12 — day 42, dose 5
Symptoms: LUQ pain
Release 12 — 3 months, dose 5
Symptoms: PFT: Lung age 80. I am 69 years old. MRI: Cysts on kidneys. Enlarged liver.
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 | ✓ | ✓ | ✓ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Aspiration | · | · | ✓ |
| SD | Bursitis | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hepatomegaly | · | · | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Meniscus removal | · | · | ✓ |
| SD | Oedema | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pulmonary function test decreased | · | · | ✓ |
| SD | Renal cyst | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release