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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

  1. 2021-04-07
    Dose 1 — Moderna
  2. 2021-04-23
    Registered in v-safe
  3. 2021-04-23
    Survey response — day 14, dose 1
    MedDRA: 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 professional
    Free 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 PCP
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-23
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-04-28
    Dose 2 — Moderna
  6. 2021-04-28
    Survey response — day 21, dose 1
    MedDRA: 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 professional
    Free 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
  7. 2021-04-28
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Moderna
22021-04-28Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-23 Unsuccessful
2021-04-28 Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-23

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

2021-04-28

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓

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