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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

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Moderna
  3. 2021-01-21
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  8. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  9. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-04
    Survey response — day 14, dose 1
    MedDRA: Joint stiffness — Feeling: Fair
    Free text: Very stiff joints, not sure why, just is.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-18
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-19
    Dose 2 — Moderna
  15. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: These came on 12 hours after injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Chills, Myalgia, Pain, Paraesthesia — Feeling: Good · Chills
    Free 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
  17. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-26
    Survey response — day 35, dose 2
    MedDRA: Colonoscopy, Endoscopy — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  22. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-21
    Survey response — 3 months, dose 2
    MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe rash on my back. Dermatologist does not know cause.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-21
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-19
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2022-05-06
    Call successful
    Not applicable - Accidental Reporting

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-19Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Very stiff joints, not sure why, just is.

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): These came on 12 hours after injection.

2021-02-25

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

2021-03-26

Symptoms: Had an endoscopy and colonoscopy done on Monday. Took it easy for a few days after.

Release 8 — 3 months, dose 2

2021-05-21

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

FieldPreferred term2021-092023-042024-11
SDColonoscopy ✓ ✓ ✓
SDEndoscopy ✓ ✓ ✓
SDJoint stiffness ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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