4JD-20884-95157
2 vaccinations
6 coded responses
11 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 344 / FL
- Registered
- 2021-08-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-30
Dose 1 — Moderna
-
2021-08-20
Registered in v-safe
- 2021-08-20
-
2021-08-27
Dose 2 — Moderna
-
2021-08-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-30
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Leg painMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-01
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Leg crampsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-05
Health check-in — day 7, dose 2Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-09-10
Survey response — day 14, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Knee and calf pain which started 2 weeks after first vaccine is getting worse.MedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Survey response — day 21, dose 2MedDRA: Arthralgia, Fatigue, Pain in extremity, Peripheral swelling, Weight bearing difficulty — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Worsening left knee and calf pain, swelling, difficulty bearing weight. Doctor is ordering ultrasound to rule out blood clots. These symptoms started 2 weeks after first shot and worsened after second shot. I am also still quite fatigued.MedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-21
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2021-09-24
Survey response — day 28, dose 2MedDRA: Arthralgia, Joint swelling, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left leg and knee pain and swelling which started 2 weeks after first shot and required acute care visit a week ago is still present. Ultrasound ruled out blood clot. PCP referring to Ortho.MedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-27
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2021-10-01
Survey response — day 35, dose 2MedDRA: Arthralgia, Joint swelling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left knee pain and swelling. Ortho doctor did steroid injection and dose pack. I can't have MRI so not sure what pain is from, just know it started in the middle of the night two weeks after second shot.MedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-05
- 2021-11-28
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-30 | Moderna | No |
| 2 | 2021-08-27 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Leg pain
Systemic reaction (other): Leg cramps
Release 9 — day 14, dose 2
Symptoms: Knee and calf pain which started 2 weeks after first vaccine is getting worse.
Release 9 — day 21, dose 2
Symptoms: Worsening left knee and calf pain, swelling, difficulty bearing weight. Doctor is ordering ultrasound to rule out blood clots. These symptoms started 2 weeks after first shot and worsened after second shot. I am also still quite fatigued.
Release 9 — day 28, dose 2
Symptoms: Left leg and knee pain and swelling which started 2 weeks after first shot and required acute care visit a week ago is still present. Ultrasound ruled out blood clot. PCP referring to Ortho.
Release 9 — day 35, dose 2
Symptoms: Left knee pain and swelling. Ortho doctor did steroid injection and dose pack. I can't have MRI so not sure what pain is from, just know it started in the middle of the night two weeks after second shot.
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 | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Weight bearing difficulty | · | · | ✓ |
| SRO | Muscle spasms | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release