Z6W-14080-04591
4 vaccinations
12 coded responses
27 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 805 / CO
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Moderna
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2021-03-03
Survey response — day 0, dose 1MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint painsFree text: I have knee pain regularlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Joint painsFree text: My knees always give me a bit of trouble. Unrelated to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint painsFree text: Always kneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint painsFree text: KneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: KneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: KneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: KneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
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2021-03-24
Survey response — day 21, dose 1MedDRA: Injection site pruritus, Self-medication — Feeling: GoodFree text: Right after my last check in, the site where I got the shot was itching a lot. It was probably itching before last reported, but I was definitely scratching it for a while after I last reported. Ive put various creams on the site which helps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Dose 2 — Moderna
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2021-03-31
Survey response — day 0, dose 2MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Knee joint pain, not relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
- 2021-04-14
- 2021-04-21
- 2021-04-28
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2021-05-05
Survey response — day 35, dose 2MedDRA: Sneezing — Feeling: GoodFree text: Sneezing due to dust allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-06-30
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2021-09-29
Survey response — 6 months, dose 2MedDRA: Biopsy endometrium abnormal, Endometrial cancer, Uterine dilation and curettage — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I had a D&C biopsy on 9/2 and was diagnosed with endometrial cancer. Hasnt spread. I go in for a hysterectomy on 10/7/21.MedDRA releases: 2024-11 · check-in free text available
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2021-09-29
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-04
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2021-10-04
Call successfulCompleted over the phone
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2021-11-23
Dose 3 — Moderna
- 2022-03-31
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2022-04-21
Dose 4 — Moderna
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
- 2022-10-20
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2023-04-21
Survey response — 12 months, dose 4MedDRA: Knee arthroplasty — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-29 | Successful 2021-10-04 |
Completed over the phone |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I have knee pain regularly
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My knees always give me a bit of trouble. Unrelated to vaccine.
Systemic reaction (other): Always knees
Systemic reaction (other): Knees
Systemic reaction (other): Knees
Systemic reaction (other): Knees
Release 5 — day 7, dose 1
Systemic reaction (other): Knees
Release 6 — day 21, dose 1
Symptoms: Right after my last check in, the site where I got the shot was itching a lot. It was probably itching before last reported, but I was definitely scratching it for a while after I last reported. Ive put various creams on the site which helps.
Release 6 — day 0, dose 2
Systemic reaction (other): Knee joint pain, not related
Release 8 — day 35, dose 2
Symptoms: Sneezing due to dust allergies.
Release 9 — 6 months, dose 2
Symptoms: I had a D&C biopsy on 9/2 and was diagnosed with endometrial cancer. Hasnt spread. I go in for a hysterectomy on 10/7/21.
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 |
|---|---|---|---|---|
| SD | Biopsy endometrium abnormal | · | · | ✓ |
| SD | Endometrial cancer | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release