3P5-10068-56681
3 vaccinations
2 coded responses
37 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 983 / WA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Registered in v-safe
-
2021-01-31
Dose 1 — Moderna
-
2021-01-31
Survey response — day 0, dose 1MedDRA: Medical observation, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I was concerned before the shot because I have had two major anaphylactic events in the past when I was taking allergy shots. I do not take allergy shots now. I took an antihistamine about 45 minutes before the shot. I was in a clinical setting and monitored by health care staff. I had no problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-28
Dose 2 — Moderna
-
2021-02-28
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
-
2021-06-03
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continuation of flare up 4 to 5 days after 2nd Moderna shot. Basically painful muscle and joint aches. I have osteoarthritis (two prior knee replacements) & have had flare ups before but they were milder & did not persist. Maybe a coincidence?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
-
2021-10-26
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-18
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-01-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-25
- 2022-04-26
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): I was concerned before the shot because I have had two major anaphylactic events in the past when I was taking allergy shots. I do not take allergy shots now. I took an antihistamine about 45 minutes before the shot. I was in a clinical setting and monitored by health care staff. I had no problems.
Release 8 — 3 months, dose 2
Symptoms: Continuation of flare up 4 to 5 days after 2nd Moderna shot. Basically painful muscle and joint aches. I have osteoarthritis (two prior knee replacements) & have had flare ups before but they were milder & did not persist. Maybe a coincidence?
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 | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release