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5AE-14788-81374

3 vaccinations 12 coded responses 25 check-ins 12 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
981 / WA
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Dose 1 — Moderna
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Survey response — day 28, dose 1
    MedDRA: Back pain, Chiropractic, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Ive put my back out, which is totally unrelated to my Vaccination!I have RA...some days are better than others. · Healthcare visit (other): Chiropractor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-25
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-03
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-04
    Dose 2 — Moderna
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Diarrhea and GI discomfort started yesterday afternoon and I forgot to list it!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  10. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  11. 2021-03-11
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches
    Free text: Likely RA related not !
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-01
    Survey response — day 28, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Spring allergy season has arrived here in the Northwest and I am completely miserable!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  18. 2021-08-17
    Dose 3 — Moderna
  19. 2021-08-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-08-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: I have active RA, so sometimes its difficult to tell the cause of body aches and fatigue!
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness
    Free text: I have RA, so your guess is as good as mine!
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-08-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Rheumatoid arthritis — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: I have active RA cause of symptoms is unclear!
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-08-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: I have RA! This is likely related to that not Vx!
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-08-24
    Survey response — day 7, dose 3
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Its most likely my RA, Im switching biologics next month!
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-08-31
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-09-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  27. 2021-09-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-09-14
    Survey response — day 28, dose 3
    MedDRA: Malaise, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Im on a new biologic (Remicade) and it is either making me feel ill or I have an infection.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-09-22
    Survey response — day 35, dose 3
    MedDRA: Office visit, Pneumonia, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have RA with interstitial lung disease.Currently I have pneumonia, but Ive been Covid tested and its not Covid ! · Healthcare visit (other): Regular Internist
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-09-22
    Report sent to call center — day 35, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-09-23
  32. 2021-09-28
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  33. 2021-11-16
    Survey response — 3 months, dose 3
    MedDRA: Diarrhoea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diarrhea, however I have IBS. So not vaccination related!
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-03-04Moderna
32021-08-17Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 28, dose 1

2021-02-25

Symptoms: Ive put my back out, which is totally unrelated to my Vaccination!I have RA...some days are better than others.
Healthcare visit (other): Chiropractor

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Diarrhea and GI discomfort started yesterday afternoon and I forgot to list it!

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Likely RA related not !

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Spring allergy season has arrived here in the Northwest and I am completely miserable!

Release 9 — days 1–6 daily, dose 3

2021-08-20

Systemic reaction (other): I have active RA, so sometimes its difficult to tell the cause of body aches and fatigue!

2021-08-21

Systemic reaction (other): I have RA, so your guess is as good as mine!

2021-08-22

Systemic reaction (other): I have active RA cause of symptoms is unclear!

2021-08-23

Systemic reaction (other): I have RA! This is likely related to that not Vx!

Release 9 — day 7, dose 3

2021-08-24

Systemic reaction (other): Its most likely my RA, Im switching biologics next month!

Release 9 — day 28, dose 3

2021-09-14

Symptoms: Im on a new biologic (Remicade) and it is either making me feel ill or I have an infection.

Release 9 — day 35, dose 3

2021-09-22

Symptoms: I have RA with interstitial lung disease.Currently I have pneumonia, but Ive been Covid tested and its not Covid !
Healthcare visit (other): Regular Internist

Release 10 — 3 months, dose 3

2021-11-16

Symptoms: Diarrhea, however I have IBS. So not vaccination related!

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
HCVOChiropractic ✓ ✓ ✓
HCVOOffice visit · · ✓
SDBack pain ✓ ✓ ✓
SDDiarrhoea · · ✓
SDMalaise · · ✓
SDPneumonia · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRheumatoid arthritis ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDUnevaluable event · · ✓
SROAbdominal discomfort ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ · ✓
SROPain ✓ · ✓
SROPre-existing disease ✓ ✓ ✓
SRORheumatoid arthritis ✓ · ✓

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

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