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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

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Good · Diarrhea
    Free 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
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-05
    Dose 2 — Moderna
  10. 2021-04-14
    Survey response — day 7, dose 2
    MedDRA: 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 activities
    Free 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 sequentially
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-29
    Survey response — day 21, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Right shoulder pain and right knee pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2022-04-07
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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 visit
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-04-07
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2022-04-12

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

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

2021-04-14

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

2021-04-29

Symptoms: Right shoulder pain and right knee pain

Release 11 — 12 months, dose 2

2022-04-07

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia ✓ ✓ ✓
SDInflammation · · ✓
SDOffice visit · · ✓
SDPain in extremity · · ✓
SROArthralgia ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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