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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

  1. 2021-02-16
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Knee swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: R knee swelling & pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Swollen R knee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: R knee swelling and pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Joint swelling — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Swollen R knee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-02-23
    Survey response — day 7, dose 1
    MedDRA: 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 visit
    Free text: R knee swelling and pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-23
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-03-02
    Survey response — day 14, dose 1
    MedDRA: 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 visit
    Free text: R knee swelling & pain. Starting physical therapy next week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-02
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-03-16
    Dose 2 — Moderna
  15. 2021-03-23
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-06
    Survey response — day 21, dose 2
    MedDRA: Bursitis, Joint swelling, Office visit, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: R knee swelling since 1st vaccine. PT did not help. L hip bursitis. · Healthcare visit (other): PCP office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-06
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-20
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 offices
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-20
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-04-27
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Contusion, Joint swelling, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: R knee pain/swelling which began with 1st doseL hip pain/bursitis · Healthcare visit (other): Physician office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-27
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-06-05
  25. 2021-06-15
    Survey response — 3 months, dose 2
    MedDRA: Joint swelling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: R knee swelling that started with first dose. Surgery is scheduled. · Healthcare visit (other): PCP and surgeon offices
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-15
    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)
  27. 2021-06-21
    Call successful
    Participant prefers to complete VAERS report online
  28. 2021-06-21
    Call successful
    Participant prefers to complete VAERS report online
  29. 2021-06-21
    Call successful
    Participant prefers to complete VAERS report online
  30. 2021-06-21
    Call successful
    Participant prefers to complete VAERS report online
  31. 2021-06-21
    Call successful
    Participant prefers to complete VAERS report online
  32. 2021-09-14
    Survey response — 6 months, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: R knee swelling continues even after meniscectomy. Swelling started with first dose and never resolved. · Healthcare visit (other): Physician visit & surgery
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-09-14
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  34. 2021-09-15
    Call successful
    Participant prefers to complete VAERS report online
  35. 2021-10-28
    Dose 3 — Moderna
  36. 2021-10-28
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: 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 activities
    Adult check-in
  38. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: 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 activities
    Adult check-in
  39. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: 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 activities
    Adult check-in
  40. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  42. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  43. 2021-11-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  45. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  46. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  47. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  48. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  49. 2022-04-07
    Dose 4 — Moderna
    Co-administered: Other
  50. 2022-04-19
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  51. 2022-04-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-05-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-05-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-05-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-06-21
    Call successful
    Participant prefers to complete VAERS report online
  57. 2022-07-07
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-09-17
    Dose 5 — Moderna
  59. 2022-09-29
    Survey response — day 7, dose 5
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain
    Free text: BLE edema
    MedDRA releases: 2024-11 · check-in free text available
  60. 2022-10-01
    Survey response — day 14, dose 5
    MedDRA: Dyspnoea, Fatigue, Oedema peripheral — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue. BLE edema. SOB.
    MedDRA releases: 2024-11 · check-in free text available
  61. 2022-10-08
    Survey response — day 21, dose 5
    MedDRA: Dyspnoea, Fatigue, Oedema — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Exhaustion Severe edema Shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  62. 2022-10-16
    Survey response — day 28, dose 5
    MedDRA: 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 visit
    Free text: Kidney infection
    MedDRA releases: 2024-11 · check-in free text available
  63. 2022-10-16
    Report sent to call center — day 28, dose 5
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  64. 2022-10-17
  65. 2022-10-23
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  66. 2022-10-29
    Survey response — day 42, dose 5
    MedDRA: 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 visit
    Free text: LUQ pain
    MedDRA releases: 2024-11 · check-in free text available
  67. 2022-10-29
    Report sent to call center — day 42, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  68. 2022-10-31
  69. 2022-10-31
  70. 2022-12-17
    Survey response — 3 months, dose 5
    MedDRA: 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 visit
    Free 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
  71. 2022-12-17
    Report sent to call center — 3 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  72. 2022-12-20
  73. 2022-12-20
  74. 2022-12-20
  75. 2023-03-18
    Survey response — 6 months, dose 5
    MedDRA: Abdominal pain upper, Aspiration, Dysphagia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  76. 2023-03-18
    Report sent to call center — 6 months, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  77. 2023-03-20
  78. 2023-03-20
  79. 2023-03-20
  80. 2023-03-20

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna
32021-10-28Moderna No
42022-04-07Moderna Other
52022-09-17Moderna No

Call center

11 call center cases

7 successful · 4 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Knee swelling

2021-02-18

Systemic reaction (other): R knee swelling & pain

2021-02-19

Systemic reaction (other): Swollen R knee

2021-02-20

Systemic reaction (other): R knee swelling and pain

2021-02-21

Systemic reaction (other): Swollen R knee

Release 4 — day 7, dose 1

2021-02-23

Systemic reaction (other): R knee swelling and pain

Release 4 — day 14, dose 1

2021-03-02

Symptoms: R knee swelling & pain. Starting physical therapy next week.

Release 7 — day 21, dose 2

2021-04-06

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

2021-04-20

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

2021-04-27

Symptoms: R knee pain/swelling which began with 1st doseL hip pain/bursitis
Healthcare visit (other): Physician office

Release 9 — 3 months, dose 2

2021-06-15

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

2021-09-14

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

2022-09-29

Systemic reaction (other): BLE edema

Release 12 — day 14, dose 5

2022-10-01

Symptoms: Fatigue. BLE edema. SOB.

Release 12 — day 21, dose 5

2022-10-08

Symptoms: Exhaustion Severe edema Shortness of breath

Release 12 — day 28, dose 5

2022-10-16

Symptoms: Kidney infection

Release 12 — day 42, dose 5

2022-10-29

Symptoms: LUQ pain

Release 12 — 3 months, dose 5

2022-12-17

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOSurgery · · ✓
HCVOUnevaluable event · · ✓
SDAbdominal pain upper · · ✓
SDArthralgia ✓ ✓ ✓
SDAspiration · · ✓
SDBursitis ✓ ✓ ✓
SDContusion ✓ ✓ ✓
SDDysphagia · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDHepatomegaly · · ✓
SDJoint swelling ✓ ✓ ✓
SDKidney infection · · ✓
SDMagnetic resonance imaging abnormal · · ✓
SDMeniscus removal · · ✓
SDOedema · · ✓
SDOedema peripheral · · ✓
SDPhysiotherapy ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPulmonary function test decreased · · ✓
SDRenal cyst · · ✓
SROArthralgia ✓ ✓ ✓
SROJoint swelling ✓ ✓ ✓
SROOedema peripheral · · ✓

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