47X-12644-63657
2 vaccinations
8 coded responses
23 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 633 / MO
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
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2021-04-15
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
- 2021-04-17
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I wish to see my parents.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: My old surgery knee hurt bad enough to put on a brace.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Still wearing knee brace on old surgery knee, also using crutches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Fever · Joint pains · Be unable to do your normal daily activitiesFree text: Still wearing knee brace on old surgery kneeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pre-existing disease, Unevaluable event — Feeling: Good · Joint pains · Be unable to do your normal daily activitiesFree text: Old surgery knee still bothersome.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Knee pain is abating, but still bothersome.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-22
- 2021-05-27
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2021-06-03
Survey response — day 21, dose 2MedDRA: Post procedural complication — Feeling: FairFree text: Still having trouble with old surgery knee. Wearing a brace when out of the house. Im retired, so the work question is not relevant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
- 2021-06-17
- 2021-06-24
- 2021-08-14
- 2021-11-11
- 2022-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): No
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I wish to see my parents.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My old surgery knee hurt bad enough to put on a brace.
Systemic reaction (other): Still wearing knee brace on old surgery knee, also using crutches.
Systemic reaction (other): Still wearing knee brace on old surgery knee
Systemic reaction (other): Old surgery knee still bothersome.
Systemic reaction (other): Knee pain is abating, but still bothersome.
Release 8 — day 21, dose 2
Symptoms: Still having trouble with old surgery knee. Wearing a brace when out of the house. Im retired, so the work question is not relevant.
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 |
|---|---|---|---|---|
| SD | Post procedural complication | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release