4Z7-25259-68290

3 vaccinations 11 coded responses 23 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 790 / TX
Registered: 2021-02-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Moderna
2021-02-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Site: Pain · Joint pains

Free text: Joint pain is probably from rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Site: Pain · Joint pains

Free text: Joint pain is from my rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Site: Pain · Joint pains

Free text: Probably my rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-02
Survey response — day 0, dose 2
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains

Free text: Joint pain is probably from my rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Site: Pain · Joint pains

Free text: But it's pain normal for my rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: But I have rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 21, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Having a flare of my rheumatoid arthritis. I had my 2nd shot about 10 days before my last Orencia infusion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-31
Survey response — 6 months, dose 2
MedDRA: Dyspepsia — Feeling: Fair

Free text: Burning stomach

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-29
Dose 3 — Moderna
Co-administered: Flu
2021-10-27
Survey response — day 28, dose 3
MedDRA: Chest pain — Feeling: Fair

Free text: The first 2 wks after moderna booster I had some mild chest pains.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Bronchitis, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I had bronchitis last week, but was tested and did not have coronas virus.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-02	Moderna
3	2021-09-29	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Joint pain is probably from rheumatoid arthritis

2021-02-04

Systemic reaction (other): Joint pain is from my rheumatoid arthritis

2021-02-05

Systemic reaction (other): Probably my rheumatoid arthritis

2021-02-06

Systemic reaction (other): Cough

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Joint pain is probably from my rheumatoid arthritis

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): But it's pain normal for my rheumatoid arthritis

2021-03-05

Systemic reaction (other): But I have rheumatoid arthritis

Release 6 — day 21, dose 2

2021-03-23

Symptoms: Having a flare of my rheumatoid arthritis. I had my 2nd shot about 10 days before my last Orencia infusion.

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: Burning stomach

Release 10 — day 28, dose 3

2021-10-27

Symptoms: The first 2 wks after moderna booster I had some mild chest pains.

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: I had bronchitis last week, but was tested and did not have coronas virus.

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	Bronchitis	·	·	✓
SD	Chest pain	·	·	✓
SD	Dyspepsia	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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