3YK-21173-60753

2 vaccinations 19 coded responses 25 check-ins 19 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 828 / WY
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Survey response — day 0, dose 1
MedDRA: Agitation, Dizziness, Irritability — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness does very irritable and agitated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain is foggy. No ambition.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability, Restlessness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Irritable and restless.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Irritability — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Irritable though a bit better. Right hip still very sore Along with pain at each wrist !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: To a lesser degree than yesterday. I hope my hip stops hurting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Fatigue is better. I hope my hip gets better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Gait disturbance — Feeling: Good · Joint pains

Free text: My right hip painful like a boil. Hurts to walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: No, just my hip still hurts!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Fair

Free text: My right hip still hurts a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Joint pains

Free text: Just my right hip is still hurting me!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Took a lengthy nap and pain meds fir my hip made an spot to check right hip and upper leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 2
MedDRA: Myalgia, Pain in extremity — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I wonder if the Covid vaccination increased the effectiveness of the creator causing the muscle aches and pain in my right leg. Better today since I held the creator.I hope there is no kidney issues. !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 21, dose 2
MedDRA: Arthralgia, Irritability — Feeling: Fair

Free text: Irritable. Right hip pain continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 28, dose 2
MedDRA: Chills, Fatigue — Feeling: Fair

Free text: Chills and very tired today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 35, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness, Neck pain — Feeling: Fair

Free text: My right hip continues to hurt now my right neck is stiff and sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 42, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair

Free text: My right hip continuous to hurt the last two weeks the right side of my neck is stiff and sore up to the base of my neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Contusion, Hypoacusis — Feeling: Good

Free text: Bruising on my left knee down my leg. Not really painful. No specific injury. I think my hearing is worse too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Dyspepsia — Feeling: Fair

Free text: More joint pain, knees More indigestion.

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My left knee is quit painful the past few days. · Healthcare visit (other): On Monday , 4/10/22

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
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 · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): Dizziness does very irritable and agitated

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Brain is foggy. No ambition.

2021-03-12

Systemic reaction (other): Irritable and restless.

2021-03-13

Systemic reaction (other): Irritable though a bit better. Right hip still very sore Along with pain at each wrist !

2021-03-14

Systemic reaction (other): To a lesser degree than yesterday. I hope my hip stops hurting.

2021-03-15

Systemic reaction (other): Fatigue is better. I hope my hip gets better.

2021-03-16

Systemic reaction (other): My right hip painful like a boil. Hurts to walk.

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): No, just my hip still hurts!

Release 6 — day 14, dose 1

2021-03-24

Symptoms: My right hip still hurts a lot.

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Just my right hip is still hurting me!

2021-04-13

Systemic reaction (other): Took a lengthy nap and pain meds fir my hip made an spot to check right hip and upper leg.

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): I wonder if the Covid vaccination increased the effectiveness of the creator causing the muscle aches and pain in my right leg. Better today since I held the creator.I hope there is no kidney issues. !

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Irritable. Right hip pain continues

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Chills and very tired today.

Release 8 — day 35, dose 2

2021-05-12

Symptoms: My right hip continues to hurt now my right neck is stiff and sore

Release 8 — day 42, dose 2

2021-05-19

Symptoms: My right hip continuous to hurt the last two weeks the right side of my neck is stiff and sore up to the base of my neck.

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Bruising on my left knee down my leg. Not really painful. No specific injury. I think my hearing is worse too.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: More joint pain, knees More indigestion.

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: My left knee is quit painful the past few days.

Healthcare visit (other): On Monday , 4/10/22

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	Chills	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SRO	Agitation	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Restlessness	✓	✓	✓

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