ZDW-35657-74178
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 857 / AZ
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Registered in v-safe
-
2021-04-12
Dose 1 — Moderna
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-17
- 2021-04-19
- 2021-04-26
- 2021-05-03
-
2021-05-10
Dose 2 — Moderna
-
2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Good · Site: PainFree text: Felt sick on May 11. Guess you dont care about that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-16
- 2021-05-19
- 2021-06-23
- 2021-08-10
-
2021-11-08
Survey response — 6 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: I'm starting to experience joint pain in my hips and knees. Don't know if it's vaccine related, but it's new.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Survey response — 12 months, dose 2MedDRA: Arthralgia, Arthropathy, Eustachian tube obstruction, Middle ear effusion, Otorrhoea — Feeling: GoodFree text: Joint pain, especially in the knees, wrists and ankles. Joints seem more prone to over extention or seem "loose". I've also had issues with ear fluid draining. The right ear eustacian tube seems restricted. These problems are new since receiving itMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-10 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Felt sick on May 11. Guess you dont care about that.
Release 10 — 6 months, dose 2
Symptoms: I'm starting to experience joint pain in my hips and knees. Don't know if it's vaccine related, but it's new.
Release 11 — 12 months, dose 2
Symptoms: Joint pain, especially in the knees, wrists and ankles. Joints seem more prone to over extention or seem "loose". I've also had issues with ear fluid draining. The right ear eustacian tube seems restricted. These problems are new since receiving it cut off by CDC
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 | Arthralgia | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Eustachian tube obstruction | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Otorrhoea | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release