5PL-26539-41772
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-06-26
- Relationship
- Adult relative or friend
- Guardian
- QTL-27620-28871
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-27
Dose 2 — Moderna
-
2021-06-26
Registered in v-safe
-
2021-06-26
Survey response — 3 months, dose 2, dependentMedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Be unable to work or attend school, Be unable to do their normal daily activitiesFree text: RH symptoms have become worse, gradually, but still worse that before vaccine. been on monthly infusions for several years, has held the RA symptoms at bay , but coincidentally, much worse since shots. do NOT know if was caused from vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-25
Survey response — 6 months, dose 2, dependentMedDRA: Arthralgia, Fatigue, Joint swelling, Medical counselling, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: slightly more fatigue than usual. on humera for severe RA, more swelling joints & pain. not necessarily from vaccine, just dont know. oked for booster & getting it. · Healthcare visit (other): office call, in person.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-25
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2021-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | No |
| 2 | 2021-03-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 3 months, dose 2, dependent
Symptoms: RH symptoms have become worse, gradually, but still worse that before vaccine. been on monthly infusions for several years, has held the RA symptoms at bay , but coincidentally, much worse since shots. do NOT know if was caused from vaccine
Release 9 — 6 months, dose 2, dependent
Symptoms: slightly more fatigue than usual. on humera for severe RA, more swelling joints & pain. not necessarily from vaccine, just dont know. oked for booster & getting it.
Healthcare visit (other): office call, in person.
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rheumatoid arthritis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release