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24M-18755-36978

3 vaccinations 3 coded responses 21 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
983 / WA
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  4. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-04-13
    Dose 2 — Moderna
  7. 2021-04-13
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Muscles camping all over
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Fair · None
    Adult check-in
  10. 2021-05-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-18
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-12
    Survey response — 6 months, dose 2
    MedDRA: Bronchitis bacterial, Office visit, Pulmonary sarcoidosis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: I had a bacterial bronchitis; related to pulmonary sarcoidosis. Completed antibiotics. Had negative COVID19 test. Not related to vaccines. I'm scheduled for booster with Moderna & flu vax tomorrow. · Healthcare visit (other): Saw my Pulmonologist-Immunologist
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-12
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  18. 2021-10-13
    Dose 3 — Moderna
    Co-administered: Flu
  19. 2021-10-13
  20. 2021-10-27
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-05
    Survey response — day 21, dose 3
    MedDRA: Fibrosis, Pre-existing disease, Pulmonary sarcoidosis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: My symptoms are NOT vaccine related. I have been on tapering Prednisone for diagnoses of Pulmonary sarcoidosis and fibrosis related to primary Sjogren's disease. Have had Prednisone increased tp 40 mg daily for a few days; then slow taper.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-05
    Report sent to call center — day 21, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  23. 2021-11-08
  24. 2021-11-11
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  25. 2021-11-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-24
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  27. 2022-01-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-04-13
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-10-13
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna
32021-10-13Moderna Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Muscles camping all over

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: I had a bacterial bronchitis; related to pulmonary sarcoidosis. Completed antibiotics. Had negative COVID19 test. Not related to vaccines. I'm scheduled for booster with Moderna & flu vax tomorrow.
Healthcare visit (other): Saw my Pulmonologist-Immunologist

Release 10 — day 21, dose 3

2021-11-05

Symptoms: My symptoms are NOT vaccine related. I have been on tapering Prednisone for diagnoses of Pulmonary sarcoidosis and fibrosis related to primary Sjogren's disease. Have had Prednisone increased tp 40 mg daily for a few days; then slow taper.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDBronchitis bacterial · · ✓
SDFibrosis · · ✓
SDPre-existing disease · · ✓
SDPulmonary sarcoidosis · · ✓
SDSARS-CoV-2 test negative · · ✓
SROMuscle spasms ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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