36E-17203-32986

2 vaccinations 9 coded responses 21 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 150 / PA
Registered: 2021-02-10

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches

Free text: I have O+ blood

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I have O + blood

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 14, dose 2
MedDRA: Arthralgia, Hyperaesthesia teeth — Feeling: Fair

Free text: My hips have hurt for a month. My right hip first then me left hip a week later. Also my right side teeth upper and lower are now sensitive to hot and cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, dose 2
MedDRA: Arthralgia, Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Both hips are hurting. My right forearm from including wrist and elbow ache. · Healthcare visit (other): Waiting for doctor to message me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 28, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My left hip still hurts. Both my arms hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 35, dose 2
MedDRA: Arthralgia, Pain in extremity, Temperature intolerance — Feeling: Fair

Free text: Right forearm hurts. Got a numbing shot to get stitches in my hand the shot was the most pain I felt in a long time up to my shoulder. My hips still hurt and. The hot cold sensitively went away after 2 weeks. I am retired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 42, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right hip hurts again right forearm from wrist to elbow hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Pain in extremity, Pre-existing disease — Feeling: Fair

Free text: My hips quit hurting. My right arm feels better. I swear I have had Covid-19 a couple times. Not severe enough to make me very ill. I am retired. I am 67

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Call 1 — Left Voicemail
2022-01-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna

Call center

2 call center cases

2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): I have O+ blood

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): No

2021-03-12

Systemic reaction (other): I have O + blood

Release 6 — day 14, dose 2

2021-03-24

Symptoms: My hips have hurt for a month. My right hip first then me left hip a week later. Also my right side teeth upper and lower are now sensitive to hot and cold

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Both hips are hurting. My right forearm from including wrist and elbow ache.

Healthcare visit (other): Waiting for doctor to message me

Release 7 — day 28, dose 2

2021-04-13

Symptoms: My left hip still hurts. Both my arms hurt

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Right forearm hurts. Got a numbing shot to get stitches in my hand the shot was the most pain I felt in a long time up to my shoulder. My hips still hurt and. The hot cold sensitively went away after 2 weeks. I am retired

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Right hip hurts again right forearm from wrist to elbow hurts

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: My hips quit hurting. My right arm feels better. I swear I have had Covid-19 a couple times. Not severe enough to make me very ill. I am retired. I am 67

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Hyperaesthesia teeth	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Temperature intolerance	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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