5EW-28831-92051
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-08
Dose 1 — Moderna
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2021-03-09
Registered in v-safe
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: I believe the diarrhea is most likely completely unrelated to the vaccine and more to do with what I should not have ate on an empty stomach. It only occurred once so far shortly after eating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-24
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2021-04-05
Dose 2 — Moderna
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2021-04-14
Survey response — day 7, dose 2MedDRA: Arthralgia, Gait disturbance, Pain in extremity — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: I experienced sever left knee pain, preventing normal walking, then I received sharp/severe foot pain, followed by severe ankle pain, also impacting ability to walk normally, followed by right knee pain (mild). These symptoms progressed sequentiallyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 21, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Right shoulder pain and right knee painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-04-07
Survey response — 12 months, dose 2MedDRA: Arthralgia, Inflammation, Office visit, Pain in extremity — Feeling: Poor · Be unable to work or attend school, 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: Symptoms: Moderate to severe foot/ankle pain on left foot (primarily) There appears to be increased inflammation and has not gone away. I'm not sure exactly what it is attributed to, but am concerned that it could be related to the vaccine, I saw a doctor. · Healthcare visit (other): In-person doctor visitMedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I believe the diarrhea is most likely completely unrelated to the vaccine and more to do with what I should not have ate on an empty stomach. It only occurred once so far shortly after eating.
Release 7 — day 7, dose 2
Systemic reaction (other): I experienced sever left knee pain, preventing normal walking, then I received sharp/severe foot pain, followed by severe ankle pain, also impacting ability to walk normally, followed by right knee pain (mild). These symptoms progressed sequentially
Release 8 — day 21, dose 2
Symptoms: Right shoulder pain and right knee pain
Release 11 — 12 months, dose 2
Symptoms: Moderate to severe foot/ankle pain on left foot (primarily) There appears to be increased inflammation and has not gone away. I'm not sure exactly what it is attributed to, but am concerned that it could be related to the vaccine, I saw a doctor.
Healthcare visit (other): In-person doctor visit
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 | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release