3WB-32956-87095
2 vaccinations
12 coded responses
19 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Dose 1 — Moderna
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2021-03-10
Registered in v-safe
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal painFree text: No otherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Stomach cramps last night and this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pre-existing disease, Rheumatoid arthritis — Feeling: GoodFree text: Headache and RA hand attack. I am immune suppressed so that happens.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 7, dose 1MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Headache, Fatigue or tirednessFree text: RA as usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
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2021-03-30
Survey response — day 21, dose 1MedDRA: Limb discomfort, Pre-existing disease — Feeling: FairFree text: Heavy legs then ok then heavy forearms and shot upper arms. FYI I am immune suppressed though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Dose 2 — Moderna
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Immunosuppression — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: Immune suppressed, recent Remicade infusion 10 days agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Redness, Itching · Chills, Headache, NauseaFree text: Mild symptoms. Body in am feels hot but no fever. I think it is the infusion Remicade from 3/8 I am getting used to. Lite red heat color in am and gone by 9:30-10am.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — day 7, dose 2MedDRA: Paraesthesia, Skin warm — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Abdominal painFree text: Morning still body heat skin feels normal temp no fever. Goes away by 10am. Prickly feelings at times. Could be Remicade first infused 4/8/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — day 14, dose 2MedDRA: Pain in extremity, Pre-existing disease — Feeling: FairFree text: On waking up my legs are painful for an hour then normalize BUT I am immune suppressed on my first month of Remicade infusion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — day 21, dose 2MedDRA: Arthralgia, Pain, Pain in extremity, Pre-existing disease — Feeling: FairFree text: Waking with dull pain hips to feet. Goes away In an hour. Immune suppressed and started Remicade infusion 2nd one so it might be from infusion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-16
- 2021-05-23
- 2021-05-30
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2021-07-18
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: Switched from RA hydroxychloriquine and prednisone to Remicade infusions. This is a good thing.MedDRA releases: 2024-11 · check-in free text available
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2021-10-17
Survey response — 6 months, dose 2MedDRA: Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Weaning steroids and on to Remicade plus some steroids. · Healthcare visit (other): Doctor RA & Dental & Reg drMedDRA releases: 2024-11 · check-in free text available
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2021-10-17
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-18 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): No other
Systemic reaction (other): Stomach cramps last night and this morning
Systemic reaction (other): Headache and RA hand attack. I am immune suppressed so that happens.
Release 5 — day 7, dose 1
Systemic reaction (other): RA as usual
Release 6 — day 21, dose 1
Symptoms: Heavy legs then ok then heavy forearms and shot upper arms. FYI I am immune suppressed though.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Immune suppressed, recent Remicade infusion 10 days ago
Systemic reaction (other): Mild symptoms. Body in am feels hot but no fever. I think it is the infusion Remicade from 3/8 I am getting used to. Lite red heat color in am and gone by 9:30-10am.
Release 7 — day 7, dose 2
Systemic reaction (other): Morning still body heat skin feels normal temp no fever. Goes away by 10am. Prickly feelings at times. Could be Remicade first infused 4/8/21
Release 8 — day 14, dose 2
Symptoms: On waking up my legs are painful for an hour then normalize BUT I am immune suppressed on my first month of Remicade infusion.
Release 8 — day 21, dose 2
Symptoms: Waking with dull pain hips to feet. Goes away In an hour. Immune suppressed and started Remicade infusion 2nd one so it might be from infusion.
Release 9 — 3 months, dose 2
Symptoms: Switched from RA hydroxychloriquine and prednisone to Remicade infusions. This is a good thing.
Release 10 — 6 months, dose 2
Symptoms: Weaning steroids and on to Remicade plus some steroids.
Healthcare visit (other): Doctor RA & Dental & Reg dr
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immunosuppression | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release