2YW-82180-39858
5 vaccinations
7 coded responses
29 check-ins
7 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 246 / VA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-02
Dose 1 — Moderna
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2021-02-03
Registered in v-safe
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: SwellingFree text: I have a pain in my right hip that is sharp. This began before my 1st vaccination dose. I am working with my oncologist on this issueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain, Unevaluable event — Feeling: Poor · Site: Pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Have an issue with my right hip. Shooting pain. I was vaccinated on my left side. Thus ailment vegan before Tuesday though it has worsened this week. · Healthcare visit (other): Orthopedic doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Arthritis — Feeling: GoodFree text: Hip pain reported before is better. I am on prednisone for my hip. No side effects from vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Mild issue with hip previously reported not rated to vaccine. I am interested to see how the prescribed dexamethasone for multiple myeloma and presented one for hip issue impact the moderna vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-17
- 2021-02-23
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2021-03-02
Dose 2 — Moderna
- 2021-03-02
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
- 2021-03-06
- 2021-03-08
- 2021-03-09
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2021-03-16
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Have a hip muscular pain issue. Taking medicine to work and function. See previous reports.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 42, dose 2MedDRA: Adverse reaction — 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: The hip issue I have described before has flavored up. I will reach out to my orthopedist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
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)
- 2021-06-01
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2021-06-28
Call successfulNot applicable - Accidental Reporting
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2021-06-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-08-24
Dose 3 — Moderna
- 2021-08-31
- 2021-11-23
- 2022-02-22
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2022-03-14
Dose 4 — Moderna
- 2022-04-14
- 2022-04-18
- 2022-04-27
- 2022-06-13
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2022-09-12
Survey response — 6 months, dose 4MedDRA: Medical counselling, Mobility decreased, Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: The right side of my neck hurts and I am reluctant to turn my head · Healthcare visit (other): Spoke with my oncologist.MedDRA releases: 2024-11 · check-in free text available
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2022-09-12
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-13
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2022-09-28
Dose 5 — ModernaCo-administered: Flu
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
| 4 | 2022-03-14 | Moderna | No |
| 5 | 2022-09-28 | Moderna | Flu |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I have a pain in my right hip that is sharp. This began before my 1st vaccination dose. I am working with my oncologist on this issue
Systemic reaction (other): Have an issue with my right hip. Shooting pain. I was vaccinated on my left side. Thus ailment vegan before Tuesday though it has worsened this week.
Healthcare visit (other): Orthopedic doctor
Systemic reaction (other): Hip pain reported before is better. I am on prednisone for my hip. No side effects from vaccine.
Systemic reaction (other): Mild issue with hip previously reported not rated to vaccine. I am interested to see how the prescribed dexamethasone for multiple myeloma and presented one for hip issue impact the moderna vaccine.
Release 5 — day 14, dose 2
Symptoms: Have a hip muscular pain issue. Taking medicine to work and function. See previous reports.
Release 7 — day 42, dose 2
Symptoms: The hip issue I have described before has flavored up. I will reach out to my orthopedist.
Release 12 — 6 months, dose 4
Symptoms: The right side of my neck hurts and I am reluctant to turn my head
Healthcare visit (other): Spoke with my oncologist.
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 | Medical counselling | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release