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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

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Diarrhea · Be unable to do your normal daily activities
    Free text: Mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free 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
  5. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain, Pre-existing disease — Feeling: Good
    Free text: I have arthritis so I'm in pain a lot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Nothing that was caused by the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-12
    Survey response — day 7, dose 1
    MedDRA: Arthralgia — Feeling: Good
    Free text: Only issues that I have are from arthritis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-31
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-14
    Dose 2 — Moderna
  13. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches
    Free 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
  14. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches
    Free text: I feel better than normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthritis — Feeling: Good
    Free text: None, except by arthritis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthritis — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Only from arthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-21
    Survey response — day 7, dose 2
    MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Arthritis issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-04-16
    Survey response — 12 months, dose 2
    MedDRA: Malaise — Feeling: Good · Be unable to do your normal daily activities
    Free 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 was
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-04-14Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Mild

2021-03-07

Systemic reaction (other): Any issues are from my arthritis. So I will not report my arthritis pain.

2021-03-08

Systemic reaction (other): I have arthritis so I'm in pain a lot.

2021-03-09

Systemic reaction (other): Nothing that was caused by the vaccine.

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Only issues that I have are from arthritis.

Release 7 — days 1–6 daily, dose 2

2021-04-15

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.

2021-04-16

Systemic reaction (other): I feel better than normal.

2021-04-18

Systemic reaction (other): None, except by arthritis.

2021-04-19

Systemic reaction (other): Only from arthritis

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Arthritis issues

Release 11 — 12 months, dose 2

2022-04-16

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

FieldPreferred term2021-092023-042024-11
SDMalaise · · ✓
SROArthralgia ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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