4WR-20066-54920

3 vaccinations 7 coded responses 33 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 067 / CT
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · Chills, Headache

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Hip and knee joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Discomfort, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: Significant Pain and discomfort in right knee. Saw Dr. yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pain in right knee · Healthcare visit (other): DR visit, xrays and will follow up with orthopedic DR on Friday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 42, dose 2
MedDRA: Arthralgia, Magnetic resonance imaging abnormal, Meniscus injury, Office visit, Weight bearing difficulty — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Right after my 2nd dose, I experienced significant pain in my knee and was not able to weight bear at all. Had an MRI and discovers a torn meniscus. I did not have any pain or symptoms until my second dose, too much of a coincidence · Healthcare visit (other): DR visit with specialist and then MRI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Gait inability, Knee operation, Office visit, Pain, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Knee surgery. Severe pain began less than 24 hours after the second shot and I could not walk and I am convinced it was the cause · Healthcare visit (other): DR visits, MRI and surgery

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-26
Call 1 — Could Not Reach Participant
2021-10-29
Call 2 — Could Not Reach Participant
2021-12-15
Dose 3 — Moderna
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-12
Survey response — day 28, dose 3
MedDRA: Nausea — Feeling: Fair

Free text: Nauseous

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — day 35, dose 3
MedDRA: Back pain, Headache — Feeling: Fair

Free text: Headache and backache for about a week now

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-12-15	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Hip and knee joint pain

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Significant Pain and discomfort in right knee. Saw Dr. yesterday.

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Pain in right knee

Healthcare visit (other): DR visit, xrays and will follow up with orthopedic DR on Friday

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Right after my 2nd dose, I experienced significant pain in my knee and was not able to weight bear at all. Had an MRI and discovers a torn meniscus. I did not have any pain or symptoms until my second dose, too much of a coincidence

Healthcare visit (other): DR visit with specialist and then MRI

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Knee surgery. Severe pain began less than 24 hours after the second shot and I could not walk and I am convinced it was the cause

Healthcare visit (other): DR visits, MRI and surgery

Release 10 — day 28, dose 3

2022-01-12

Symptoms: Nauseous

Release 10 — day 35, dose 3

2022-01-19

Symptoms: Headache and backache for about a week now

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	✓	✓	✓
HCVO	Surgery	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Gait inability	·	·	✓
SD	Headache	·	·	✓
SD	Knee operation	·	·	✓
SD	Magnetic resonance imaging abnormal	✓	✓	✓
SD	Meniscus injury	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Weight bearing difficulty	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Office visit	✓	✓	✓

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