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5ZF-17330-51759

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
223 / VA
Registered
2021-01-28
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  10. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-19
    Survey response — day 21, dose 1
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Increased pain in joints in shoulder and knees and left hip joint
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-25
    Dose 2 — Moderna
  13. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  15. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  17. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  18. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness
    Adult check-in
  19. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  20. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-28
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-04-04
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Balance disorder, Chills — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe pain in joints , chills, equilibrium off
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-11
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Muscular weakness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: pain in legs and shoulder and legs feel like they are going to buckle when walking
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-27
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Severe pain in legs joints , knees, elbows, shoulder joints, lower legs swell, my legs ache painfully at night even to the point that it awakens me out of my sleep my gait is wobbly sometimes now, my hands hurt sometimes now I didnt have this befo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2022-02-28
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Shoulder pain in both arms
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna

Free text

Release 4 — day 21, dose 1

2021-02-19

Symptoms: Increased pain in joints in shoulder and knees and left hip joint

Release 6 — day 35, dose 2

2021-04-04

Symptoms: Severe pain in joints , chills, equilibrium off

Release 7 — day 42, dose 2

2021-04-11

Symptoms: pain in legs and shoulder and legs feel like they are going to buckle when walking

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Severe pain in legs joints , knees, elbows, shoulder joints, lower legs swell, my legs ache painfully at night even to the point that it awakens me out of my sleep my gait is wobbly sometimes now, my hands hurt sometimes now I didnt have this befo

Release 11 — 12 months, dose 2

2022-02-28

Symptoms: Shoulder pain in both arms

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
SDArthralgia ✓ ✓ ✓
SDBalance disorder ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓

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