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3YG-15327-65516

1 vaccination 6 coded responses 7 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
228 / VA
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Survey response — day 0, dose 1
    MedDRA: Hyperventilation, Immediate post-injection reaction, Respiratory rate decreased — Feeling: Good
    Free text: 5 minutes after receiving the injection I experienced very deep breathing and a much slower respiration rate. These symptoms lasted about 5 minutes. I did not feel distressed during this time. Then my breathing suddenly became restored to normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Myalgia, Self-medication — Feeling: Good · Joint pains
    Free text: Joint and muscle pain in left knee, where I had a total knee replacement in 2010. Taking Tylenol. That helps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Fatigue, Pre-existing disease — Feeling: Good · Joint pains
    Free text: Joint pain, left knee (TKR) has diminished considerably since yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: Joint pain at left knee (TKR) has diminished back to normal levels, as when before I received the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Condition aggravated, Knee arthroplasty — Feeling: Good · Joint pains
    Free text: Joint pains, left knee TKR but the pain now is no worse than before receiving the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Joint pains
    Free text: Joint pains are now same as before I received the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-09-09
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): 5 minutes after receiving the injection I experienced very deep breathing and a much slower respiration rate. These symptoms lasted about 5 minutes. I did not feel distressed during this time. Then my breathing suddenly became restored to normal

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Joint and muscle pain in left knee, where I had a total knee replacement in 2010. Taking Tylenol. That helps

2021-03-13

Systemic reaction (other): Joint pain, left knee (TKR) has diminished considerably since yesterday.

2021-03-14

Systemic reaction (other): Joint pain at left knee (TKR) has diminished back to normal levels, as when before I received the vaccine.

2021-03-15

Systemic reaction (other): Joint pains, left knee TKR but the pain now is no worse than before receiving the vaccine

2021-03-16

Systemic reaction (other): Joint pains are now same as before I received the injection

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
SROArthralgia ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFatigue ○ ✓ ○
SROHyperventilation ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROKnee arthroplasty ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORespiratory rate decreased ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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