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2GF-20102-79027

1 vaccination 5 coded responses 8 check-ins 5 free-text entries 0 call cases
Sex
—
Age at first dose
56-60
ZIP prefix
923 / CA
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Registered in v-safe
  2. 2021-02-11
    Dose 1 — Moderna
  3. 2021-02-11
    Survey response — day 0, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: This is my second dose. I got it at 9:45 am
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry mouth, Tongue dry — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Dry mouth and tongue. This is my second dose of Moderna
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Nausea
    Free text: This is my second dose of Moderna
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Vaccine positive rechallenge — Feeling: Good · Joint pains
    Free text: I have joint pain which I have NEVER experienced before my first dose of Moderna. Have it again with second Moderna dose. This is a first for me as a 60 year old female who exercises regularly, eats a whole food plant based diet and has a normal BMI
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-12
    Survey response — 6 months, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: Ive had hip inflammation (after both vaccine 1 and 2), that reactivates periodically. It got reactivated after dose 1 of Shingles vaccine that I got in April. Im 60 yrs and have not experienced joint inflammation prior to the Covid19 vaccine.
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): This is my second dose. I got it at 9:45 am

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Dry mouth and tongue. This is my second dose of Moderna

2021-02-13

Systemic reaction (other): This is my second dose of Moderna

2021-02-14

Systemic reaction (other): I have joint pain which I have NEVER experienced before my first dose of Moderna. Have it again with second Moderna dose. This is a first for me as a 60 year old female who exercises regularly, eats a whole food plant based diet and has a normal BMI

Release 9 — 6 months, dose 1

2021-08-12

Symptoms: Ive had hip inflammation (after both vaccine 1 and 2), that reactivates periodically. It got reactivated after dose 1 of Shingles vaccine that I got in April. Im 60 yrs and have not experienced joint inflammation prior to the Covid19 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

FieldPreferred term2021-092023-042024-11
SDCondition aggravated ✓ · ✓
SDPre-existing disease ✓ · ✓
SROArthralgia ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROTongue dry ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVaccine positive rechallenge ✓ ✓ ✓

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