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3XP-67677-77533

2 vaccinations 5 coded responses 12 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
460 / IN
Registered
2021-04-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-05
    Registered in v-safe
  2. 2021-04-05
    Dose 1 — Moderna
  3. 2021-04-05
    Health check-in — day 0, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: Good
    Free text: Autoimmune flare up with my Lupus and RA since injection but was expected
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: Just autoimmune flare up still. Like previously stated it was kinda expected.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Pain in neck and left shoulder during work. Worse than normal extremely stiff only on left side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-03
    Dose 2 — Moderna
  11. 2021-05-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  12. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Fever at site of injection and into shoulder of 105.0° Fahrenheit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-04
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-15
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Condition aggravated, Ear infection, Migraine, Pre-existing disease, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Since the vaccine my migraines have gotten worse and I have had 2 severe sinus infections and a ear infection. Had more autoimmune issues than normal. Joints hurt worse than before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-15
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-06-18

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna
22021-05-03Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Autoimmune flare up with my Lupus and RA since injection but was expected

2021-04-09

Systemic reaction (other): Just autoimmune flare up still. Like previously stated it was kinda expected.

2021-04-10

Systemic reaction (other): Pain in neck and left shoulder during work. Worse than normal extremely stiff only on left side

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Fever at site of injection and into shoulder of 105.0° Fahrenheit

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Since the vaccine my migraines have gotten worse and I have had 2 severe sinus infections and a ear infection. Had more autoimmune issues than normal. Joints hurt worse than before.

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 ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDEar infection ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAutoimmune disorder ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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