5TV-59450-65530
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 600 / IL
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The symptoms were all yesterday afternoon and night. Only arm pain today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Slight sore arm at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 2MedDRA: Back pain, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mid back pain. · Healthcare visit (other): Doctor office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
- 2021-04-14
- 2021-04-22
-
2021-06-09
Survey response — 3 months, dose 2MedDRA: Meniscus injury, Pre-existing disease, Vision blurred — Feeling: Poor · 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: Left and right knees arthritis. Left knee torn meniscus. This happened a month after the vaccination. I am sure unrelated. Also, left eye blurriness on and off constantly since May. Opthamologist cannot find any eye disease. Probably unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
-
2021-06-29
Call successfulCompleted over the phone
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Knee arthroplasty, Pain, Surgery — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had total knee replacement on the 27th and am in a lot of pain. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-13
-
2021-09-14
Call successfulDoes not wish to fill out VAERS report
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2022-03-10
Survey response — 12 months, dose 2MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Degenerative neck and spine. Knee replacement from last August still very stiff not enough flex. · Healthcare visit (other): Doctors visits and xrays, MRI.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-10
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-11
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 3
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The symptoms were all yesterday afternoon and night. Only arm pain today.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Slight sore arm at injection site.
Release 6 — day 21, dose 2
Release 9 — 3 months, dose 2
Symptoms: Left and right knees arthritis. Left knee torn meniscus. This happened a month after the vaccination. I am sure unrelated. Also, left eye blurriness on and off constantly since May. Opthamologist cannot find any eye disease. Probably unrelated.
Release 9 — 6 months, dose 2
Symptoms: I had total knee replacement on the 27th and am in a lot of pain.
Healthcare visit (other): Surgery
Release 11 — 12 months, dose 2
Symptoms: Degenerative neck and spine. Knee replacement from last August still very stiff not enough flex.
Healthcare visit (other): Doctors visits and xrays, MRI.
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 | Surgery | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Meniscus injury | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release