YZ2-17481-61305
4 vaccinations
10 coded responses
29 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
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2021-01-17
Registered in v-safe
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Ear discomfort, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pressure in my ears & sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-01-18
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: I keep forgetting to answer this part. I have PSA & take Humira. I stopped it 8 days before getting the vaccine & will resume taking it on 1/24, 8 days after my vaccination. During this time I experienced a flare up with lesions on my fingers, hands, feet, & outer ears. I had a similar response when I received the new shingles vaccine 9/20, so I anticipated this could arise. I wanted to be sure to inform CDC since people with compromised immune system cannot be part of studies. I want to help in anyway I can, so I am willing to discuss anything further. I do not answer calls I dont recognize so please leave VM or email: (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — day 7, dose 1MedDRA: Pain, Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to workFree text: I have PSA & have not taken Humira in 2 weeks which is accounts fit my continued pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-02-07
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2021-02-13
Dose 2 — Moderna
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2021-02-13
Survey response — day 0, dose 2MedDRA: Headache, Nausea, Pain, Pre-existing disease, Prostatic specific antigen increased — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: I have PSA that is only now calming down since last vaccine. It is also raining today, so my pain level is going to be higher today, even without having received my 2nd vaccine. The nausea & headache started about 3.5 hrs after receiving injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Swelling — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to workFree text: Considerable swelling in knuckles, continue to experience pain in knees & ankles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Neck pain, Peripheral swelling — Feeling: Good · Joint pains, Muscle or body aches · Be unable to workFree text: Knees & ankles are more sensitive than usual [twinges Ive never experienced before, they appear randomly] . Hands/knuckles more swollen than usual & pain in wrists, elbows, shoulders & neck are substantial.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — day 7, dose 2MedDRA: Arthralgia — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: I believe the cause of my joint pain is due to my insurance not approving my Humira in a timely fashion. I am behind on my dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-07
- 2021-03-13
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2021-03-20
Survey response — day 35, dose 2MedDRA: Arthralgia, Back pain, Medical observation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Lower back & joint pain! Especially knees & wrists. · Healthcare visit (other): I went for cervical EMG, results show normal for extremities, problem is coming from neck! Also went to Rheumatologist for blood tests & steroid shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-29
- 2021-05-15
- 2021-08-01
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2021-08-02
Call successfulCompleted over the phone
- 2021-08-15
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2021-09-25
Dose 3 — Moderna
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2021-10-26
Survey response — day 28, dose 3MedDRA: Office visit, Rheumatoid arthritis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Started Orencia Infusion 10/19 for RA. · Healthcare visit (other): Regular scheduled appointment @ the infusion centerMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-30
- 2021-11-07
- 2021-12-27
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2022-03-25
Dose 4 — Moderna
- 2022-03-26
- 2022-09-25
- 2022-09-25
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2023-03-25
Survey response — 12 months, dose 4MedDRA: Knee arthroplasty — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
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2023-03-25
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
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2023-03-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-09-25 | Moderna | No |
| 4 | 2022-03-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-18 | priority 2/3 | |
| 2021-03-20 | Successful 2021-08-02 |
Completed over the phone |
| 2021-10-26 | Successful 2021-10-27 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-03-25 | Successful 2023-03-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Pressure in my ears & sore throat
Systemic reaction (other): I keep forgetting to answer this part. I have PSA & take Humira. I stopped it 8 days before getting the vaccine & will resume taking it on 1/24, 8 days after my vaccination. During this time I experienced a flare up with lesions on my fingers, hands, feet, & outer ears. I had a similar response when I received the new shingles vaccine 9/20, so I anticipated this could arise. I wanted to be sure to inform CDC since people with compromised immune system cannot be part of studies. I want to help in anyway I can, so I am willing to discuss anything further. I do not answer calls I dont recognize so please leave VM or email: (b)(6)
redacted (b)(6)
Release 2 — day 7, dose 1
Systemic reaction (other): I have PSA & have not taken Humira in 2 weeks which is accounts fit my continued pain.
Release 4 — day 0, dose 2
Systemic reaction (other): I have PSA that is only now calming down since last vaccine. It is also raining today, so my pain level is going to be higher today, even without having received my 2nd vaccine. The nausea & headache started about 3.5 hrs after receiving injection.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Considerable swelling in knuckles, continue to experience pain in knees & ankles.
Systemic reaction (other): Knees & ankles are more sensitive than usual [twinges Ive never experienced before, they appear randomly] . Hands/knuckles more swollen than usual & pain in wrists, elbows, shoulders & neck are substantial.
Release 4 — day 7, dose 2
Systemic reaction (other): I believe the cause of my joint pain is due to my insurance not approving my Humira in a timely fashion. I am behind on my dose.
Release 6 — day 35, dose 2
Symptoms: Lower back & joint pain! Especially knees & wrists.
Healthcare visit (other): I went for cervical EMG, results show normal for extremities, problem is coming from neck! Also went to Rheumatologist for blood tests & steroid shot.
Release 10 — day 28, dose 3
Symptoms: Started Orencia Infusion 10/19 for RA.
Healthcare visit (other): Regular scheduled appointment @ the infusion center
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 | Medical observation | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Rheumatoid arthritis | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Prostatic specific antigen increased | ○ | ✓ | ○ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release