5SQ-55392-06756
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 620 / IL
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Dose 1 — Moderna
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2021-02-04
Registered in v-safe
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2021-02-05
Survey response — day 14, dose 1MedDRA: Arthralgia, Asthma, Pre-existing disease, Swelling — Feeling: FairFree text: Asthma and achy joints with some swelling- slightly worse and increasing since received vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 21, dose 1MedDRA: Arthralgia, Joint lock, Musculoskeletal discomfort, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Arthralgia Increasingly worse in both knees. More discomfort behind right knee and occasional catching in left knee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 28, dose 1MedDRA: Arthralgia, Asthma, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased arthralias especially in the knees and asthma/respiratory issues. Started on prednisone 6 mg February 15. · Healthcare visit (other): Office visit with primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-24
Dose 2 — Moderna
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Therapeutic response unexpected — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: Arthralgias have been less since getting second vaccination givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Self-medication — Feeling: Fair · Joint pains, Muscle or body achesFree text: Breathing issues Bad enough to take alupent inhalerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Joint pains, Muscle or body achesFree text: Better in the last couple of days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-03
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2021-03-10
Survey response — day 14, dose 2MedDRA: Arthralgia, Mobility decreased, Pain in extremity, Specialist consultation — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Knees, hands,Left elbow and right shoulder aching more And unable to go up atairs · Healthcare visit (other): Visited My rheumatologistAnd received injections and shoulder and both knees.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-02
- 2021-08-25
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: Asthma and achy joints with some swelling- slightly worse and increasing since received vaccine
Release 4 — day 21, dose 1
Symptoms: Arthralgia Increasingly worse in both knees. More discomfort behind right knee and occasional catching in left knee.
Release 4 — day 28, dose 1
Symptoms: Increased arthralias especially in the knees and asthma/respiratory issues. Started on prednisone 6 mg February 15.
Healthcare visit (other): Office visit with primary care physician
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Arthralgias have been less since getting second vaccination given
Systemic reaction (other): Breathing issues Bad enough to take alupent inhaler
Systemic reaction (other): Better in the last couple of days.
Release 5 — day 14, dose 2
Symptoms: Knees, hands,Left elbow and right shoulder aching more And unable to go up atairs
Healthcare visit (other): Visited My rheumatologistAnd received injections and shoulder and both knees.
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Joint lock | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release