YV3-43707-95042
3 vaccinations
6 coded responses
24 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 324 / FL
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia — Feeling: Good · Joint pains, Muscle or body achesFree text: Joint and muscles a little more acheyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
-
2021-02-25
Survey response — day 7, dose 1MedDRA: Arthralgia, Myalgia — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I' m. 85. Have a degree joint and muscle pain it'not bad and hasn't increased since l had the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
-
2021-03-14
Dose 2 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-28
- 2021-04-04
-
2021-04-11
Survey response — day 28, dose 2MedDRA: Arthralgia, Pre-existing disease, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My right knee has begun to hurt. It keeps me awake at night . l have an appt. with Dr. (b)(6) who has done other surgeries. My lft knee & both my hips. This has been coming on fot quite some time. I don't think it has anything to do with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
-
2021-04-25
Survey response — day 42, dose 2MedDRA: Knee arthroplasty, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My rite knee has to be replaced. It'been going bad for years-- has finally failed. · Healthcare visit (other): Dr specialist. To determine wether the need for replacement.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-13
Survey response — 3 months, dose 2MedDRA: Knee arthroplasty — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Replaced a knee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-18
- 2021-09-12
-
2021-11-23
Dose 3 — ModernaCo-administered: Flu
- 2021-11-24
- 2021-11-25
-
2022-02-22
Survey response — 3 months, dose 3MedDRA: Arrhythmia, Atrial fibrillation, Cardioversion, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I underwent Cardio Version. And going to Doctors to why l have shortness of breath. · Healthcare visit (other): Out patient for my heart rhythm A-fib.MedDRA releases: 2024-11 · check-in free text available
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2022-02-22
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-23
-
2022-02-23
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-14 | Moderna | |
| 3 | 2021-11-23 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-25 | Successful | Does not wish to fill out VAERS report |
| 2021-06-13 | Successful | Does not wish to fill out VAERS report |
| 2022-02-22 | Successful 2022-02-23 |
Does not wish to fill out VAERS report |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Joint and muscles a little more achey
Release 4 — day 7, dose 1
Systemic reaction (other): I' m. 85. Have a degree joint and muscle pain it'not bad and hasn't increased since l had the vaccine.
Release 7 — day 28, dose 2
Symptoms: My right knee has begun to hurt. It keeps me awake at night . l have an appt. with Dr. (b)(6) who has done other surgeries. My lft knee & both my hips. This has been coming on fot quite some time. I don't think it has anything to do with the vaccine. cut off by CDC
redacted (b)(6)
Release 7 — day 42, dose 2
Symptoms: My rite knee has to be replaced. It'been going bad for years-- has finally failed.
Healthcare visit (other): Dr specialist. To determine wether the need for replacement.
Release 9 — 3 months, dose 2
Symptoms: Replaced a knee.
Release 11 — 3 months, dose 3
Symptoms: I underwent Cardio Version. And going to Doctors to why l have shortness of breath.
Healthcare visit (other): Out patient for my heart rhythm A-fib.
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 | Arrhythmia | · | · | ✓ |
| HCVO | Atrial fibrillation | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cardioversion | · | · | ✓ |
| SD | Knee arthroplasty | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release