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2RU-30931-00469

4 vaccinations 4 coded responses 30 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
275 / NC
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Registered in v-safe
  2. 2021-02-03
    Dose 1 — Moderna
  3. 2021-03-03
    Dose 2 — Moderna
  4. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Atrial fibrillation, Pre-existing disease, Toothache — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have a-fib incidents periodically. I was in a-fib during the reaction. Also my teeth were really achy (like a bad sinus infection). The reaction was on Thursday 04Mar starting around 24 hours after the shot. I didn't realize I should have done this the day of the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  7. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  8. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-24
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Back pain — Feeling: Fair
    Free text: I've been experiencing more than usual arthritis pain in my knee and back. I really don't know if it is due to the vaccination, but I thought I would mention it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-31
    Survey response — day 28, dose 2
    MedDRA: Arthritis, Pain, Pre-existing disease — Feeling: Fair
    Free text: Still don't know if my extra pains are from the vaccine or just worsening arthritis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-04-14
    Survey response — day 42, dose 2
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Just wish I knew if my arthritis is worse because of the vaccine...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-09-03
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-10-22
    Dose 3 — Moderna
  16. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Joint pains
    Adult check-in
  17. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-04-15
    Dose 4 — Moderna
  25. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-04-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-04-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-04-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-07-15
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-10-16
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2023-04-17
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-03Moderna
32021-10-22Moderna No
42022-04-15Moderna No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): I have a-fib incidents periodically. I was in a-fib during the reaction. Also my teeth were really achy (like a bad sinus infection). The reaction was on Thursday 04Mar starting around 24 hours after the shot. I didn't realize I should have done this the day of the shot.

Release 6 — day 21, dose 2

2021-03-24

Symptoms: I've been experiencing more than usual arthritis pain in my knee and back. I really don't know if it is due to the vaccination, but I thought I would mention it.

Release 6 — day 28, dose 2

2021-03-31

Symptoms: Still don't know if my extra pains are from the vaccine or just worsening arthritis.

Release 7 — day 42, dose 2

2021-04-14

Symptoms: Just wish I knew if my arthritis is worse because of 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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROAtrial fibrillation ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROToothache ✓ ✓ ✓

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