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49U-19979-97501

1 vaccination 5 coded responses 14 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
970 / OR
Registered
2021-04-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-20
    Dose 1 — Moderna
  2. 2021-04-21
    Registered in v-safe
  3. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Headache
    Free text: Congestion and runny nose. And visible capillaries and redness on forearm of injection side (left side)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Rhinorrhoea — Feeling: Fair · Headache
    Free text: Runny nose for part of the day, could be allergies - i don't know.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-04
    Survey response — day 14, dose 1
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Achy joints, particularly hips, knees, ankles - but hips most of all.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-13
    Survey response — day 21, dose 1
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I have been experiencing off the hook major allergy symptoms, to sage brush i think. My only other possible allergic experience was a couple of years ago on the oregon coast where i was raised i experienced mild allergies on a very high pollen day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-22
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-05-26
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-06-04
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-07-20
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Impaired work ability — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: My joints ached pretty bad after i had the second shot and my right hip just never stopped aching. It progressed and is really causing me problems. Ive decided to go see a doctor as its causing me to miss work. Maybe the timing is just coincidence?
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-20
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-20Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Congestion and runny nose. And visible capillaries and redness on forearm of injection side (left side)

2021-04-22

Systemic reaction (other): Runny nose for part of the day, could be allergies - i don't know.

Release 8 — day 14, dose 1

2021-05-04

Symptoms: Achy joints, particularly hips, knees, ankles - but hips most of all.

Release 8 — day 21, dose 1

2021-05-13

Symptoms: I have been experiencing off the hook major allergy symptoms, to sage brush i think. My only other possible allergic experience was a couple of years ago on the oregon coast where i was raised i experienced mild allergies on a very high pollen day. cut off by CDC

Release 9 — 3 months, dose 1

2021-07-20

Symptoms: My joints ached pretty bad after i had the second shot and my right hip just never stopped aching. It progressed and is really causing me problems. Ive decided to go see a doctor as its causing me to miss work. Maybe the timing is just coincidence? cut off by CDC

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 ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDImpaired work ability · · ✓
SDPre-existing disease ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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