4RK-17169-02943 · OpenVSafe

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Body temperature increased, Meniere's disease, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Meniere's RETURNED!! Severe Pain in Rt KNEE REPLACEMENT!!X5 DAYS.. Now very sore!! Too. Ill to teport in day 1 to day 5. Temp up to 101.8

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Meniere's disease, Physiotherapy, Pre-existing disease, Procedural pain, Urticaria — Feeling: Fair · Site: Pain, Itching · Joint pains, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Severe pain, today down to bad soreness of 8 wk Rt Total Knee Replacement since rec. Covid Vac. Also return of Meiner's really bothersome-since vac too. Rt lower calf started with HIVES today-knee to ankle. Unknown cause-Topical Hydrocortisone cream improved hives. · Healthcare visit (other): Physical Therapist for Rt TKA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-06
Survey response — day 7, dose 1
MedDRA: Knee arthroplasty, Meniere's disease, Physiotherapy, Pre-existing disease — Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Meiner's driving me nuts!! · Healthcare visit (other): Physical Therapy for Rt Total Knee Replacement care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-14
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Call 1 — Left Voicemail
2021-04-05
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-30
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Meniere's RETURNED!! Severe Pain in Rt KNEE REPLACEMENT!!X5 DAYS.. Now very sore!! Too. Ill to teport in day 1 to day 5. Temp up to 101.8

2021-01-04

Systemic reaction (other): Severe pain, today down to bad soreness of 8 wk Rt Total Knee Replacement since rec. Covid Vac. Also return of Meiner's really bothersome-since vac too. Rt lower calf started with HIVES today-knee to ankle. Unknown cause-Topical Hydrocortisone cream improved hives.

Healthcare visit (other): Physical Therapist for Rt TKA

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Meiner's driving me nuts!!

Healthcare visit (other): Physical Therapy for Rt Total Knee Replacement care

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	Knee arthroplasty	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Condition aggravated	○	○	○
SRO	Meniere's disease	✓	✓	✓
SRO	Pain	○	○	○
SRO	Pre-existing disease	✓	✓	✓
SRO	Procedural pain	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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