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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

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Swelling
    Free 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 issue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 professional
    Free 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 doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-04
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthritis — Feeling: Good
    Free 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
  7. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good
    Free 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
  8. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-02
    Dose 2 — Moderna
  13. 2021-03-02
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  17. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-16
    Survey response — day 14, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free 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
  20. 2021-03-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-13
    Survey response — day 42, dose 2
    MedDRA: 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 visit
    Free 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
  24. 2021-04-13
    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)
  25. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-28
    Call successful
    Not applicable - Accidental Reporting
  27. 2021-06-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  28. 2021-08-24
    Dose 3 — Moderna
  29. 2021-08-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-23
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-02-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-03-14
    Dose 4 — Moderna
  33. 2022-04-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-04-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-04-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-06-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-09-12
    Survey response — 6 months, dose 4
    MedDRA: Medical counselling, Mobility decreased, Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  38. 2022-09-12
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  39. 2022-09-13
  40. 2022-09-28
    Dose 5 — Moderna
    Co-administered: Flu
  41. 2023-03-16
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-08-24Moderna No
42022-03-14Moderna No
52022-09-28Moderna Flu

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

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

2021-02-04

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

2021-02-06

Systemic reaction (other): Hip pain reported before is better. I am on prednisone for my hip. No side effects from vaccine.

2021-02-07

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

2021-03-16

Symptoms: Have a hip muscular pain issue. Taking medicine to work and function. See previous reports.

Release 7 — day 42, dose 2

2021-04-13

Symptoms: The hip issue I have described before has flavored up. I will reach out to my orthopedist.

Release 12 — 6 months, dose 4

2022-09-12

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAdverse reaction ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDMobility decreased · · ✓
SDNeck pain · · ✓
SROArthralgia ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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