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5Q8-11281-32765

2 vaccinations 4 coded responses 19 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
134 / NY
Registered
2021-03-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Moderna
  3. 2021-03-20
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains
    Free text: Have had an increase in duration and frequency of arthritic knee pain (one knee is bone on bone at inner aspect). Not sure if it is incidental or from vaccination. The increased pain started late evening of first dose. Still going for second and if I would have known about pain I still would have had the vaccine!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-17
    Dose 2 — Moderna
  14. 2021-04-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-17
    Survey response — 3 months, dose 2
    MedDRA: Dyspepsia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Frequent often severe heartburn. · Healthcare visit (other): Call to office for script for previously used protonix
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-07-17
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-07-25
  23. 2021-10-16
    Survey response — 6 months, dose 2
    MedDRA: Dyspepsia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Frequent heartburn · Healthcare visit (other): Physician office visit and GIbsoecialist vist.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-16
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-10-20
  26. 2022-04-17
    Survey response — 12 months, dose 2
    MedDRA: Condition aggravated, Magnetic resonance imaging abnormal, Office visit, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Increase of pain in right shoulder. MRI showed further degeneration and larger tear of rotator cuff compared to 2016. · Healthcare visit (other): Scheduled physician and specialist visits
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-04-17
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2022-04-22

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna
22021-04-17Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Have had an increase in duration and frequency of arthritic knee pain (one knee is bone on bone at inner aspect). Not sure if it is incidental or from vaccination. The increased pain started late evening of first dose. Still going for second and if I would have known about pain I still would have had the vaccine!

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Frequent often severe heartburn.
Healthcare visit (other): Call to office for script for previously used protonix

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Frequent heartburn
Healthcare visit (other): Physician office visit and GIbsoecialist vist.

Release 11 — 12 months, dose 2

2022-04-17

Symptoms: Increase of pain in right shoulder. MRI showed further degeneration and larger tear of rotator cuff compared to 2016.
Healthcare visit (other): Scheduled physician and specialist visits

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 · · ✓
SDCondition aggravated · · ✓
SDDyspepsia · · ✓
SDMagnetic resonance imaging abnormal · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SROCondition aggravated ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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