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54Q-23933-37376

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
948 / CA
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Joint swelling, Rash — Feeling: Poor · Site: Pain, Itching · Joint pains, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Horrible pain and swelling in right knee. Also rash on arms and parts of torso
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Rash — Feeling: Poor · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Bad knee pain in one knee. It is slightly improving, though. The rash has gotten worse
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Differential white blood cell count, Gait disturbance, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Bad knee pain in one knee; difficulty walking. · Healthcare visit (other): I actually did this on Friday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-24
    Report sent to call center — days 1–6 daily, dose 1
    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)
  7. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Gait disturbance, Office visit — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, 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): Bad knee pain in right knee. Im limping. · Healthcare visit (other): Scheduled appointment with orthopedist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-25
    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)
  9. 2021-01-26
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Rash — Feeling: Poor · Joint pains, Muscle or body aches, 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 · Telehealth, virtual health, or email health consultation
    Free text: The rash has spread. My right knee continues to hurt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-26
    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)
  11. 2021-02-03
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Injection site reaction, Injection site warmth, Rash macular — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I developed a blotch of red skin on my arm near the injection site. It was hot to the touch, started small, and grew. I now have a new blotch on my back that started yesterday. My knee pain is improving, but it still hurts.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-03
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-02-16
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-02-18
    Dose 2 — Moderna
  16. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Rash, not including the immediate area around the injection site
    Free text: Fatigue in days after vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-03-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-03-28
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-05-20
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-21
  23. 2021-08-19
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-18Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Horrible pain and swelling in right knee. Also rash on arms and parts of torso

2021-01-23

Systemic reaction (other): Bad knee pain in one knee. It is slightly improving, though. The rash has gotten worse

2021-01-24

Systemic reaction (other): Bad knee pain in one knee; difficulty walking.
Healthcare visit (other): I actually did this on Friday.

2021-01-25

Systemic reaction (other): Bad knee pain in right knee. Im limping.
Healthcare visit (other): Scheduled appointment with orthopedist

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): The rash has spread. My right knee continues to hurt

Release 3 — day 14, dose 1

2021-02-03

Symptoms: I developed a blotch of red skin on my arm near the injection site. It was hot to the touch, started small, and grew. I now have a new blotch on my back that started yesterday. My knee pain is improving, but it still hurts.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Fatigue in days after vaccine

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODifferential white blood cell count ○ ✓ ○
SROFatigue ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROJoint swelling ✓ ✓ ✓
SRORash ✓ ✓ ✓

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