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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

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Dose 2 — Moderna
  4. 2021-03-11
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Diarrhea
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  11. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Survey response — day 21, dose 2
    MedDRA: Ear pain, Fatigue, Headache, Lymphadenopathy, Oropharyngeal pain, Rhinorrhoea, Seasonal allergy — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  14. 2021-04-09
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Asthenia, Diarrhoea, Fatigue, Myalgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Muscle and joint pain, diarrhea, weakness and fatigue. Stayed in bed 3 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-22
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Ear pain, Nasal congestion, Pain — Feeling: Fair
    Free text: Earache, nasal congestion, body and joint aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-10
    Survey response — 3 months, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Ache and soreness in left arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-09-10
    Survey response — 6 months, dose 2
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Good
    Free text: Runny nose, sore throat, cough
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-03-13
    Survey response — 12 months, dose 2
    MedDRA: 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, Hospitalization
    Free 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
  20. 2022-03-13
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  21. 2022-03-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-11Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 21, dose 2

2021-04-01

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

2021-04-09

Symptoms: Muscle and joint pain, diarrhea, weakness and fatigue. Stayed in bed 3 days

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Earache, nasal congestion, body and joint aches

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Ache and soreness in left arm

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Runny nose, sore throat, cough

Release 11 — 12 months, dose 2

2022-03-13

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDCough · · ✓
SDDiarrhoea ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDJoint instability · · ✓
SDKnee arthroplasty · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSeasonal allergy ✓ ✓ ✓
SDSurgical failure · · ✓

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