YW6-15096-00339
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 244 / VA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-04-23
Survey response — day 14, dose 1MedDRA: Arthralgia, Chills, Office visit, Pain, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: For the first Moderna vaccine I had fever chills achiness etc. for over four days it was 10 out of a 10. For my second vaccination on April 7 I had and still have body pain joint pain increased arthritis in my hands and back · Healthcare visit (other): And immune neurology and allergy doctor and my PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-28
Dose 2 — Moderna
-
2021-04-28
Survey response — day 21, dose 1MedDRA: Arthralgia, Back pain, Office visit, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased back pain, joint pain, knees, fingers I would like someone to call me and let me know why this is lasting so long and if I will always have this pain or will it get better. Im glad I took the vaccine but this is not good · Healthcare visit (other): My PCP & Immunology & Allergy doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-23 | Unsuccessful | |
| 2021-04-28 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: For the first Moderna vaccine I had fever chills achiness etc. for over four days it was 10 out of a 10. For my second vaccination on April 7 I had and still have body pain joint pain increased arthritis in my hands and back
Healthcare visit (other): And immune neurology and allergy doctor and my PCP
Release 8 — day 21, dose 1
Symptoms: Increased back pain, joint pain, knees, fingers I would like someone to call me and let me know why this is lasting so long and if I will always have this pain or will it get better. Im glad I took the vaccine but this is not good
Healthcare visit (other): My PCP & Immunology & Allergy doctor.
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 | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release