2V7-21265-21543
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 840 / UT
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, DiarrheaAdult check-in
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Survey response — day 21, dose 2MedDRA: Ear pain, Fatigue, Headache, Lymphadenopathy, Oropharyngeal pain, Rhinorrhoea, Seasonal allergy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, one ear aches, headache, swollen glands, tired, runny nose. Im thinking it could be seasonal or new allergies but OTC allergy pills arent working very well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — day 28, dose 2MedDRA: Arthralgia, Asthenia, Diarrhoea, Fatigue, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Muscle and joint pain, diarrhea, weakness and fatigue. Stayed in bed 3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
-
2021-04-22
Survey response — day 42, dose 2MedDRA: Arthralgia, Ear pain, Nasal congestion, Pain — Feeling: FairFree text: Earache, nasal congestion, body and joint achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-10
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Ache and soreness in left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-10
Survey response — 6 months, dose 2MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose, sore throat, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-03-13
Survey response — 12 months, dose 2MedDRA: Arthralgia, Joint instability, Knee arthroplasty, Surgical failure — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Oct 27, 2021 I had a total knee replacement revision because cement failed. Original knee replacement became unstable and pain increased. The cement failure started before COVID immunizations.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-13
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2022-03-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 21, dose 2
Symptoms: Sore throat, one ear aches, headache, swollen glands, tired, runny nose. Im thinking it could be seasonal or new allergies but OTC allergy pills arent working very well.
Release 7 — day 28, dose 2
Symptoms: Muscle and joint pain, diarrhea, weakness and fatigue. Stayed in bed 3 days
Release 7 — day 42, dose 2
Symptoms: Earache, nasal congestion, body and joint aches
Release 9 — 3 months, dose 2
Symptoms: Ache and soreness in left arm
Release 9 — 6 months, dose 2
Symptoms: Runny nose, sore throat, cough
Release 11 — 12 months, dose 2
Symptoms: Oct 27, 2021 I had a total knee replacement revision because cement failed. Original knee replacement became unstable and pain increased. The cement failure started before COVID immunizations.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint instability | · | · | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SD | Surgical failure | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release