39N-61119-02333
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 550 / MN
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I have rheumatoid arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Rheumatoid arthritis — Feeling: Good · Fatigue or tirednessFree text: Rheumatoid arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-13
Survey response — day 28, dose 2MedDRA: Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: History of RA. New onset of tingling of hands and feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-03-25
-
2021-05-13
Survey response — 3 months, dose 2MedDRA: Hypertension, Presyncope, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Vasovagal syncope and high blood pressure. · Healthcare visit (other): Cardiac work up. Holter, echo stress testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
- 2021-10-18
-
2022-02-13
Survey response — 12 months, dose 2MedDRA: Adverse reaction, Asthenia, Blood pressure decreased, Bradycardia, Emergency care, Heart rate decreased, Impaired work ability, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: 6 weeks after 2nd Moderna vaccine experienced bradycardia, heart rate 33, blood pressure 60/40. Cardiac work up negative. No recurrence. No problems so far after Moderna booster. · Healthcare visit (other): ER with acute episode. Cardiac consultation out patient. No work for 1 week because of residual weaknessMedDRA releases: 2024-11 · check-in free text available
-
2022-02-13
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I have rheumatoid arthritis
Systemic reaction (other): Rheumatoid arthritis
Release 5 — day 28, dose 2
Symptoms: History of RA. New onset of tingling of hands and feet
Release 8 — 3 months, dose 2
Symptoms: Vasovagal syncope and high blood pressure.
Healthcare visit (other): Cardiac work up. Holter, echo stress test
Release 11 — 12 months, dose 2
Symptoms: 6 weeks after 2nd Moderna vaccine experienced bradycardia, heart rate 33, blood pressure 60/40. Cardiac work up negative. No recurrence. No problems so far after Moderna booster.
Healthcare visit (other): ER with acute episode. Cardiac consultation out patient. No work for 1 week because of residual weakness
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 |
|---|---|---|---|---|
| HCVO | Adverse reaction | · | · | ✓ |
| HCVO | Asthenia | · | · | ✓ |
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Impaired work ability | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Blood pressure decreased | · | · | ✓ |
| SD | Bradycardia | · | · | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Presyncope | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release