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
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
-
2021-03-27
Survey response — day 7, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint painsFree 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
- 2021-04-03
- 2021-04-11
-
2021-04-17
Dose 2 — Moderna
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
-
2021-07-17
Survey response — 3 months, dose 2MedDRA: Dyspepsia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Frequent often severe heartburn. · Healthcare visit (other): Call to office for script for previously used protonixMedDRA releases: 2024-11 · check-in free text available
-
2021-07-17
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-25
-
2021-10-16
Survey response — 6 months, dose 2MedDRA: Dyspepsia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Frequent heartburn · Healthcare visit (other): Physician office visit and GIbsoecialist vist.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-16
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-20
-
2022-04-17
Survey response — 12 months, dose 2MedDRA: 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 professionalFree 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 visitsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-17
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 6 — day 7, dose 1
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
Symptoms: Frequent often severe heartburn.
Healthcare visit (other): Call to office for script for previously used protonix
Release 10 — 6 months, dose 2
Symptoms: Frequent heartburn
Healthcare visit (other): Physician office visit and GIbsoecialist vist.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release