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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

  1. 2021-03-09
    Dose 1 — Moderna
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain
    Free text: No other
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Stomach cramps last night and this morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Pre-existing disease, Rheumatoid arthritis — Feeling: Good
    Free 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
  9. 2021-03-16
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Headache, Fatigue or tiredness
    Free text: RA as usual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-30
    Survey response — day 21, dose 1
    MedDRA: Limb discomfort, Pre-existing disease — Feeling: Fair
    Free 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
  12. 2021-04-18
    Dose 2 — Moderna
  13. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunosuppression — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Immune suppressed, recent Remicade infusion 10 days ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Redness, Itching · Chills, Headache, Nausea
    Free 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
  15. 2021-04-25
    Survey response — day 7, dose 2
    MedDRA: Paraesthesia, Skin warm — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Abdominal pain
    Free text: Morning still body heat skin feels normal temp no fever. Goes away by 10am. Prickly feelings at times. Could be Remicade first infused 4/8/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-02
    Survey response — day 14, dose 2
    MedDRA: Pain in extremity, Pre-existing disease — Feeling: Fair
    Free 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
  17. 2021-05-09
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Pain, Pain in extremity, Pre-existing disease — Feeling: Fair
    Free 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
  18. 2021-05-16
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-05-23
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-05-30
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-07-18
    Survey response — 3 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Switched from RA hydroxychloriquine and prednisone to Remicade infusions. This is a good thing.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-17
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Weaning steroids and on to Remicade plus some steroids. · Healthcare visit (other): Doctor RA & Dental & Reg dr
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-17
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-10-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-18Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): No other

2021-03-12

Systemic reaction (other): Stomach cramps last night and this morning

2021-03-15

Systemic reaction (other): Headache and RA hand attack. I am immune suppressed so that happens.

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): RA as usual

Release 6 — day 21, dose 1

2021-03-30

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

2021-04-22

Systemic reaction (other): Immune suppressed, recent Remicade infusion 10 days ago

2021-04-23

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

2021-04-25

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

2021-05-02

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

2021-05-09

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

2021-07-18

Symptoms: Switched from RA hydroxychloriquine and prednisone to Remicade infusions. This is a good thing.

Release 10 — 6 months, dose 2

2021-10-17

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDUnevaluable event · · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmunosuppression ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORheumatoid arthritis ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓

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