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46Z-25531-97745

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
935 / CA
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-23
    Registered in v-safe
  3. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-10
    Dose 2 — Moderna
  6. 2021-03-10
    Health check-in — day 0, dose 2
    Feeling: Fair · Diarrhea
    Adult check-in
  7. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Allergies and arthritis pain today. Nothing debilitating.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Sensitivity to weather change, Unevaluable event — Feeling: Good
    Free text: Sore back from weather changes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  13. 2021-03-18
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Good · Joint pains
    Free text: Arthritis in my hip and knee.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-01
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Arthritis, Pain in extremity, Pre-existing disease — Feeling: Fair
    Free text: Knee and foot pain. Had a torn meniscus 2-22-2020 left knee and it is acting up. My right hip has arthritis and is also sore to walk. Our weather is beautiful 78 degrees. Thank you for checking in me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-18
    Survey response — day 35, dose 2
    MedDRA: Arthritis, Dry mouth, Paranasal sinus discomfort, Pre-existing disease, Stomatitis — Feeling: Fair
    Free text: Sinuses are being tickled and have an irritation in the roof of my mouth. It seems drier than usual. Also my arthritis has been pretty intense.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-08
    Survey response — 6 months, dose 2
    MedDRA: Cardiac pacemaker adjustment, Cardiac pacemaker insertion — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had a pacemaker implanted June 22, 2021 and July 19 had the leads adjustment.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-03-10
    Survey response — 12 months, dose 2
    MedDRA: Blood uric acid increased, Gout, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: High uric acid. Dr said it is a gout flare up.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-03-10
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-03-11
  23. 2022-03-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Allergies and arthritis pain today. Nothing debilitating.

2021-03-13

Systemic reaction (other): Sore back from weather changes

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): Arthritis in my hip and knee.

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Knee and foot pain. Had a torn meniscus 2-22-2020 left knee and it is acting up. My right hip has arthritis and is also sore to walk. Our weather is beautiful 78 degrees. Thank you for checking in me.

Release 7 — day 35, dose 2

2021-04-18

Symptoms: Sinuses are being tickled and have an irritation in the roof of my mouth. It seems drier than usual. Also my arthritis has been pretty intense.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Had a pacemaker implanted June 22, 2021 and July 19 had the leads adjustment.

Release 11 — 12 months, dose 2

2022-03-10

Symptoms: High uric acid. Dr said it is a gout flare up.

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 ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDBlood uric acid increased · · ✓
SDCardiac pacemaker adjustment · · ✓
SDCardiac pacemaker insertion · · ✓
SDDry mouth ✓ ✓ ✓
SDGout · · ✓
SDPain in extremity ✓ ✓ ✓
SDParanasal sinus discomfort ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDStomatitis ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROBack pain ✓ · ✓
SROPre-existing disease ✓ ✓ ✓
SROSensitivity to weather change ✓ · ✓
SROUnevaluable event ○ ✓ ○

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