352-11056-00479
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 989 / WA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-01-27
- 2021-01-28
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Joint stiffness — Feeling: FairFree text: Very stiff joints, not sure why, just is.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
-
2021-02-19
Dose 2 — Moderna
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: These came on 12 hours after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chills, Myalgia, Pain, Paraesthesia — Feeling: Good · ChillsFree text: The post injection symptoms reported yesterday were the day of and day after. I had joint/ muscle pains like no other. The chills went through the night. I also had a prickly feeling on skin all over body. The pains and chills were gone the next day. The tingling hung on for a few days. Wild!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 35, dose 2MedDRA: Colonoscopy, Endoscopy — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had an endoscopy and colonoscopy done on Monday. Took it easy for a few days after.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-05-21
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe rash on my back. Dermatologist does not know cause.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
- 2022-02-19
-
2022-05-06
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — day 14, dose 1
Symptoms: Very stiff joints, not sure why, just is.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): These came on 12 hours after injection.
Systemic reaction (other): The post injection symptoms reported yesterday were the day of and day after. I had joint/ muscle pains like no other. The chills went through the night. I also had a prickly feeling on skin all over body. The pains and chills were gone the next day. The tingling hung on for a few days. Wild!
Release 6 — day 35, dose 2
Symptoms: Had an endoscopy and colonoscopy done on Monday. Took it easy for a few days after.
Release 8 — 3 months, dose 2
Symptoms: Severe rash on my back. Dermatologist does not know cause.
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 | Colonoscopy | ✓ | ✓ | ✓ |
| SD | Endoscopy | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release