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
-
2021-02-10
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
- 2021-02-24
- 2021-03-05
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: Allergies and arthritis pain today. Nothing debilitating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Sensitivity to weather change, Unevaluable event — Feeling: GoodFree text: Sore back from weather changesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-18
Survey response — day 7, dose 2MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Good · Joint painsFree text: Arthritis in my hip and knee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
-
2021-04-01
Survey response — day 21, dose 2MedDRA: Arthralgia, Arthritis, Pain in extremity, Pre-existing disease — Feeling: FairFree 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
- 2021-04-11
-
2021-04-18
Survey response — day 35, dose 2MedDRA: Arthritis, Dry mouth, Paranasal sinus discomfort, Pre-existing disease, Stomatitis — Feeling: FairFree 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
- 2021-06-10
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Cardiac pacemaker adjustment, Cardiac pacemaker insertion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a pacemaker implanted June 22, 2021 and July 19 had the leads adjustment.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-10
Survey response — 12 months, dose 2MedDRA: 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 visitFree text: High uric acid. Dr said it is a gout flare up.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-10
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-11
-
2022-03-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Allergies and arthritis pain today. Nothing debilitating.
Systemic reaction (other): Sore back from weather changes
Release 5 — day 7, dose 2
Systemic reaction (other): Arthritis in my hip and knee.
Release 6 — day 21, dose 2
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
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
Symptoms: Had a pacemaker implanted June 22, 2021 and July 19 had the leads adjustment.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Blood uric acid increased | · | · | ✓ |
| SD | Cardiac pacemaker adjustment | · | · | ✓ |
| SD | Cardiac pacemaker insertion | · | · | ✓ |
| SD | Dry mouth | ✓ | ✓ | ✓ |
| SD | Gout | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sensitivity to weather change | ✓ | · | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release