ZHN-31224-17983
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 547 / WI
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-08
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-05-18
- 2021-05-19
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-05-21
-
2021-05-28
Survey response — day 14, dose 2MedDRA: Joint stiffness — Feeling: GoodFree text: My knees and hips are a little bit stiff. It is minor, but thought it may be something you would like to know about. The minor stiffness has been present for about a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-05
Survey response — day 21, dose 2MedDRA: Arthritis, Fatigue, Musculoskeletal discomfort, Pre-existing disease — Feeling: GoodFree text: I am experiencing more joint discomfort than last week. The discomfort feels like arthritis. Applying Icy Hot gets control of the situation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-19
- 2021-06-25
- 2021-08-13
-
2021-11-18
Survey response — 6 months, dose 2MedDRA: SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: In September I thought I had COVID -19. Got tested and came back negative. I was down for several weeks. · Healthcare visit (other): COVID-19 testMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-18 | Successful 2021-11-19 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8 — day 14, dose 2
Symptoms: My knees and hips are a little bit stiff. It is minor, but thought it may be something you would like to know about. The minor stiffness has been present for about a week.
Release 8 — day 21, dose 2
Symptoms: I am experiencing more joint discomfort than last week. The discomfort feels like arthritis. Applying Icy Hot gets control of the situation.
Release 10 — 6 months, dose 2
Symptoms: In September I thought I had COVID -19. Got tested and came back negative. I was down for several weeks.
Healthcare visit (other): COVID-19 test
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release