26J-17923-92140
4 vaccinations
7 coded responses
39 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint painsFree text: i have chronic joint pains, not excessive todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Atrial fibrillation — Feeling: Good · Site: RednessFree text: went i to afib today, not sure it is relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Sinus rhythm — Feeling: Good · Site: Redness · Joint pains, Muscle or body achesFree text: am back in sinus rhythmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Condition aggravated, Myalgia — Feeling: Good · Joint pains, Muscle or body achesFree text: joint and myscle pains are chronic but somewhat worse todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — day 7, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-03
Survey response — day 14, dose 1MedDRA: Arthritis, Back pain, Muscle tightness, Sciatica — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2 days of increased muscles tightness and soreness of back and sciatic nueve pain. Not sure if vaccine related or artritis flare.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-18
-
2021-02-26
Dose 2 — Moderna
- 2021-02-27
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-12
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2021-03-21
Survey response — day 21, dose 2MedDRA: Condition aggravated, Discomfort, Fatigue, Pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Increased bloating and intestinal discomfort, some achiness and fatigue.. Probably not related to vaccine as my intestines are trying to normalize after taking antibiotics for appendicitis incident in early January.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-28
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2021-04-03
Survey response — day 35, dose 2MedDRA: Abdominal distension — Feeling: FairFree text: Bloating. Doubt it is related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-08-29
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2021-10-22
Dose 3 — Moderna
- 2021-10-26
-
2021-10-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-28
- 2021-10-30
- 2021-11-06
- 2021-11-14
- 2021-11-19
- 2021-11-27
- 2021-12-04
- 2022-01-21
-
2022-05-06
Dose 4 — Moderna
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2022-05-14
Health check-in — day 7, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-20
- 2022-05-29
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-08-07
- 2022-11-04
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): i have chronic joint pains, not excessive today
Systemic reaction (other): went i to afib today, not sure it is related
Systemic reaction (other): am back in sinus rhythm
Systemic reaction (other): joint and myscle pains are chronic but somewhat worse today
Release 3 — day 14, dose 1
Symptoms: 2 days of increased muscles tightness and soreness of back and sciatic nueve pain. Not sure if vaccine related or artritis flare.
Release 6 — day 21, dose 2
Symptoms: Increased bloating and intestinal discomfort, some achiness and fatigue.. Probably not related to vaccine as my intestines are trying to normalize after taking antibiotics for appendicitis incident in early January.
Release 6 — day 35, dose 2
Symptoms: Bloating. Doubt it is related to the vaccine
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 | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Atrial fibrillation | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Sinus rhythm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release