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3EZ-17765-37916

6 vaccinations 10 coded responses 44 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
208 / MD
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-15
    Registered in v-safe
  2. 2021-02-15
    Dose 1 — Moderna
  3. 2021-02-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain
    Free text: Pain in shoulder and down arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-15
    Dose 2 — Moderna
  14. 2021-03-15
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Yes but not now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-22
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Gait inability, Headache, Musculoskeletal stiffness, Pain in extremity, Pre-existing disease, Rheumatoid arthritis — Feeling: Good
    Free text: Second dose Moderna administered 3/15 I reported local pain in injection arm and moderate headache. However, did not report strong stiffness and joint pain because I have early rheumatoid arthritis ( mostly in fingers). Flares are expected but I had never experienced same. The prolonged morning stiffness and substantial pain in knees continued 3/17. In afternoon I took 1 OTC Aleve tablet and long hot bath. On 3/18 in the morning these symptoms were dramatically reduced-stiffness and pain - and I could walk up stairs again. 3/19 symptoms gone wo further Naproxen or soaking hot bath. So was a major RA flare triggered by the vaccination or was it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-05
    Survey response — day 21, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Varying joint aches for no teason
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-13
    Survey response — 6 months, dose 2
    MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair
    Free text: RA flare - not related to vaccination
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-02
    Dose 3 — Moderna
  28. 2021-11-02
    Survey response — day 0, dose 3
    MedDRA: Rheumatoid arthritis — Feeling: Fair · Site: Pain
    Free text: I have early rheumatoid arthritis.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  30. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  31. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Eye swelling, Pre-existing disease, Unevaluable event — Feeling: Fair · Site: Pain
    Free text: Swollen eyes and runny - probably allergies
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-09
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-23
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  35. 2021-11-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-02-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-03-08
    Dose 4 — Moderna
  40. 2022-05-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-09-09
    Dose 5 — Moderna
  42. 2022-09-15
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  43. 2022-09-16
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  44. 2022-09-23
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-09-30
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-10-07
    Survey response — day 28, dose 5
    MedDRA: Neck pain — Feeling: Fair
    Free text: Pain in neck on one side
    MedDRA releases: 2024-11 · check-in free text available
  47. 2023-03-10
    Survey response — 6 months, dose 5
    MedDRA: Fatigue, Palpitations — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  48. 2023-04-24
    Dose 6 — Moderna
  49. 2023-05-08
    Survey response — day 14, dose 6
    MedDRA: Ventricular extrasystoles — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  50. 2023-05-16
    Health check-in — day 21, dose 6
    Feeling: Fair
    Adult check-in
  51. 2023-05-22
    Health check-in — day 28, dose 6
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna
22021-03-15Moderna
32021-11-02Moderna No
42022-03-08Moderna No
52022-09-09Moderna No
62023-04-24Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): Pain in shoulder and down arm

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Yes but not now

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Second dose Moderna administered 3/15 I reported local pain in injection arm and moderate headache. However, did not report strong stiffness and joint pain because I have early rheumatoid arthritis ( mostly in fingers). Flares are expected but I had never experienced same. The prolonged morning stiffness and substantial pain in knees continued 3/17. In afternoon I took 1 OTC Aleve tablet and long hot bath. On 3/18 in the morning these symptoms were dramatically reduced-stiffness and pain - and I could walk up stairs again. 3/19 symptoms gone wo further Naproxen or soaking hot bath. So was a major RA flare triggered by the vaccination or was it

Release 6 — day 21, dose 2

2021-04-05

Symptoms: Varying joint aches for no teason

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: RA flare - not related to vaccination

Release 10 — day 0, dose 3

2021-11-02

Systemic reaction (other): I have early rheumatoid arthritis.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Swollen eyes and runny - probably allergies

Release 12 — day 28, dose 5

2022-10-07

Symptoms: Pain in neck on one side

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 ✓ ✓ ✓
SDFatigue · · ✓
SDNeck pain · · ✓
SDPalpitations · · ✓
SDPre-existing disease · · ✓
SDRheumatoid arthritis · · ✓
SDVentricular extrasystoles · · ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROEye swelling · · ✓
SROGait inability ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORheumatoid arthritis ✓ ✓ ✓
SROUnevaluable event · · ✓

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

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