Z4E-28692-60964
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: I should have reported knee joint pain all week but it wasn't enough to report until today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
-
2021-03-24
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Dehydration, Diarrhoea, Emergency care, Heart rate increased, Vomiting, White blood cell count increased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I experienced throwing up, diarrhea, and stomach pains severe enough for emergency care. Diagnosis was dehydration, elevated heart rate, and high white blood cell count due to either food poisoning or low blood sugar.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-30
Survey response — day 21, dose 1MedDRA: Myalgia — Feeling: GoodFree text: Continued muscle soreness in the legs/knees.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Joint pains, Muscle or body achesAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-12
- 2021-04-21
- 2021-04-26
-
2021-05-03
Survey response — day 28, dose 2MedDRA: Arthralgia, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I've regularly reported joint ache in my knees since my 1st shot. It's getting worse. Today it is very bad. I don't know if it's related to the shot but the pain didn't start unti I got the shot. · Healthcare visit (other): I've asked for a referral to an orthopedic doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-11
- 2021-05-17
- 2021-07-05
- 2021-10-04
- 2021-12-14
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-24 | Unsuccessful | |
| 2021-05-03 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I should have reported knee joint pain all week but it wasn't enough to report until today.
Release 6 — day 14, dose 1
Symptoms: I experienced throwing up, diarrhea, and stomach pains severe enough for emergency care. Diagnosis was dehydration, elevated heart rate, and high white blood cell count due to either food poisoning or low blood sugar.
Release 6 — day 21, dose 1
Symptoms: Continued muscle soreness in the legs/knees.
Release 8 — day 28, dose 2
Symptoms: I've regularly reported joint ache in my knees since my 1st shot. It's getting worse. Today it is very bad. I don't know if it's related to the shot but the pain didn't start unti I got the shot.
Healthcare visit (other): I've asked for a referral to an orthopedic 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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dehydration | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SD | White blood cell count increased | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release