4HG-22305-96880

4 vaccinations 16 coded responses 55 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 188 / PA
Registered: 2021-03-11

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

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

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Pain behind left knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Pain behind left knee and pain in right hip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Right hi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain

Free text: Arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 7, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: I have arthritis which causes me pain that comes on suddenly and lasts sometimes a day or two sometimes longer so I do not know if the pain I have been having since the vaccine is from my arthritis or the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Painful joints · Healthcare visit (other): Dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Painful joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very painful joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in knees and hips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme leg , knee and heel pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry mouth

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Very bad pain in knees

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-03
Survey response — day 28, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Join pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 35, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: All over Joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 42, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: All over joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-06-02
Dose 4 — Moderna
2022-06-02
Survey response — day 0, dose 4
MedDRA: Office visit — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Orthopedic Dr in hospital

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Report sent to call center — day 0, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-09
Health check-in — day 7, dose 4
Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-16
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-30
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-07
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-01
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-12-01
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-06-02
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-05	Moderna	No
4	2022-06-02	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Pain behind left knee

2021-03-17

Systemic reaction (other): Pain behind left knee and pain in right hip

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Right hi

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Arm pain

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): I have arthritis which causes me pain that comes on suddenly and lasts sometimes a day or two sometimes longer so I do not know if the pain I have been having since the vaccine is from my arthritis or the shot

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Painful joints

Healthcare visit (other): Dr office

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Painful joints

Release 8 — day 35, dose 2

2021-05-13

Symptoms: Very painful joints

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Pain in knees and hips

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Extreme leg , knee and heel pain

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Dry mouth

Release 10 — day 21, dose 3

2021-11-26

Symptoms: Very bad pain in knees

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Join pain

Release 10 — day 35, dose 3

2021-12-10

Symptoms: All over Joint pain

Release 10 — day 42, dose 3

2021-12-17

Symptoms: All over joint pain

Release 11 — day 0, dose 4

2022-06-02

Healthcare visit (other): Orthopedic Dr in hospital

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	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dry mouth	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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