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
-
2021-04-05
Registered in v-safe
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2021-04-05
Dose 1 — Moderna
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2021-04-05
Health check-in — day 0, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: GoodFree text: Autoimmune flare up with my Lupus and RA since injection but was expectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree 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
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Joint pains, Muscle or body achesFree text: Pain in neck and left shoulder during work. Worse than normal extremely stiff only on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-26
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2021-05-03
Dose 2 — Moderna
- 2021-05-03
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: 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 consultationFree text: Fever at site of injection and into shoulder of 105.0° FahrenheitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
- 2021-05-17
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2021-06-15
Survey response — day 42, dose 2MedDRA: 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 visitFree 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
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2021-06-15
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Autoimmune flare up with my Lupus and RA since injection but was expected
Systemic reaction (other): Just autoimmune flare up still. Like previously stated it was kinda expected.
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
Systemic reaction (other): Fever at site of injection and into shoulder of 105.0° Fahrenheit
Release 9 — day 42, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Autoimmune disorder | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release