4XJ-28106-87765
2 vaccinations
8 coded responses
25 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 152 / PA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Joint painsFree text: Yesterday I had a 99 degree temp today is normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Rhinorrhoea — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: All of us have a runny nose and a coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-08
- 2021-04-13
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2021-04-14
Dose 2 — Moderna
- 2021-04-14
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Rash — Feeling: Fair · Muscle or body achesFree text: All of my family received the vaccine together. My wife and I had the same symptoms. My son's both have A rash on their arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · HeadacheFree text: I'm having problems with my knee since the third day after the shot?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-04-21
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-28
Survey response — day 14, dose 2MedDRA: Arthralgia, Musculoskeletal discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had an investing problem with my knee? I hadn't done anything to cause it to hurt. Also I have had neck problems and they have also worsened? My temperature has gone back to normal though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-28
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2021-07-14
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Musculoskeletal discomfort, Office visit, Pain, Pre-existing disease — 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: My joints have been a problem since getting the shots. My pain has been worse than prior to the shots?I have always had pain now the pain has gotten almost unbearable, I am back at a pain clinic because of the discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
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2021-10-13
Survey response — 6 months, dose 2MedDRA: Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Allot more pain than I've had prior to the shots.MedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Survey response — 12 months, dose 2MedDRA: Medical counselling, Musculoskeletal discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Over the last year I've had more discomfort in my joints. The same thing happened to my mother who is now on a home. I did what you said and mentioned it to my PCP she shrugged and didn't do anything?MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday I had a 99 degree temp today is normal.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): All of us have a runny nose and a cough
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): All of my family received the vaccine together. My wife and I had the same symptoms. My son's both have A rash on their arms.
Systemic reaction (other): I'm having problems with my knee since the third day after the shot?
Release 8 — day 14, dose 2
Symptoms: I have had an investing problem with my knee? I hadn't done anything to cause it to hurt. Also I have had neck problems and they have also worsened? My temperature has gone back to normal though.
Release 9 — 3 months, dose 2
Symptoms: My joints have been a problem since getting the shots. My pain has been worse than prior to the shots?I have always had pain now the pain has gotten almost unbearable, I am back at a pain clinic because of the discomfort.
Release 10 — 6 months, dose 2
Symptoms: Allot more pain than I've had prior to the shots.
Release 11 — 12 months, dose 2
Symptoms: Over the last year I've had more discomfort in my joints. The same thing happened to my mother who is now on a home. I did what you said and mentioned it to my PCP she shrugged and didn't do anything?
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 | Condition aggravated | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ○ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release