3Z7-21831-31133
3 vaccinations
11 coded responses
26 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 471 / IN
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Moderna
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2021-02-04
Survey response — day 0, dose 1MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Joint painsFree text: Usual RA symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint painsFree text: Normal RA joint achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · HeadacheFree text: RA type joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-03-13
Dose 2 — Moderna
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: GoodFree text: Chills day of vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
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2021-03-27
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: Headachebut may be due to stress.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 21, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 28, dose 2MedDRA: Diarrhoea — Feeling: FairFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-06-12
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2021-10-01
Dose 3 — Moderna
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2021-10-28
Survey response — day 21, dose 3MedDRA: Headache, Injection site erythema, Injection site mass, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache after 3rd dose for 2 days. After flu shot on 10/8/21, I had lump and red spot on arm at site of shot. Very sore. Then arm that I received shot 3 began hurting again. Both are better now.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
- 2021-11-12
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2021-12-31
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold following thanksgiving for 2 weeks; felt good one week then after Christmas I got another cold (both from grandchildren who tested negative for Covid, strep and flu). Still fighting second cold.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-01 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Usual RA symptoms
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Normal RA joint aches
Systemic reaction (other): Sore throat
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): RA type joint pain
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Chills day of vaccination
Release 6 — day 14, dose 2
Symptoms: Headachebut may be due to stress.
Release 6 — day 21, dose 2
Symptoms: Headaches
Release 7 — day 28, dose 2
Symptoms: Diarrhea
Release 7 — day 35, dose 2
Symptoms: Diarrhea
Release 10 — day 21, dose 3
Symptoms: Headache after 3rd dose for 2 days. After flu shot on 10/8/21, I had lump and red spot on arm at site of shot. Very sore. Then arm that I received shot 3 began hurting again. Both are better now.
Release 10 — 3 months, dose 3
Symptoms: Cold following thanksgiving for 2 weeks; felt good one week then after Christmas I got another cold (both from grandchildren who tested negative for Covid, strep and flu). Still fighting second cold.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site mass | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release