4L5-11043-65651
2 vaccinations
11 coded responses
23 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 046 / ME
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Diarrhea · Be unable to do your normal daily activitiesFree text: MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Any issues are from my arthritis. So I will not report my arthritis pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pre-existing disease — Feeling: GoodFree text: I have arthritis so I'm in pain a lot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Nothing that was caused by the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 7, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Only issues that I have are from arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-08
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2021-04-14
Dose 2 — Moderna
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Muscle or body achesFree text: I have arthritis so I'm none since how I feel has nothing to do with the shot. I couldn't say none and have something written in this box.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body achesFree text: I feel better than normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthritis — Feeling: GoodFree text: None, except by arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthritis — Feeling: Good · Joint pains, Muscle or body achesFree text: Only from arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 7, dose 2MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body achesFree text: Arthritis issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-08
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-15
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Malaise — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had symptoms of COVID and a few family members also had it during XMas. I did not go to doctor for diagnosis since I knew what it wasMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Mild
Systemic reaction (other): Any issues are from my arthritis. So I will not report my arthritis pain.
Systemic reaction (other): I have arthritis so I'm in pain a lot.
Systemic reaction (other): Nothing that was caused by the vaccine.
Release 5 — day 7, dose 1
Systemic reaction (other): Only issues that I have are from arthritis.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have arthritis so I'm none since how I feel has nothing to do with the shot. I couldn't say none and have something written in this box.
Systemic reaction (other): I feel better than normal.
Systemic reaction (other): None, except by arthritis.
Systemic reaction (other): Only from arthritis
Release 7 — day 7, dose 2
Systemic reaction (other): Arthritis issues
Release 11 — 12 months, dose 2
Symptoms: Had symptoms of COVID and a few family members also had it during XMas. I did not go to doctor for diagnosis since I knew what it was
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 | Malaise | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release