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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

  1. 2021-02-27
    Dose 1 — Moderna
  2. 2021-03-27
    Dose 2 — Moderna
  3. 2021-06-26
    Registered in v-safe
  4. 2021-06-26
    Survey response — 3 months, dose 2, dependent
    MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Be unable to work or attend school, Be unable to do their normal daily activities
    Free 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 vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-09-25
    Survey response — 6 months, dose 2, dependent
    MedDRA: Arthralgia, Fatigue, Joint swelling, Medical counselling, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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
  6. 2021-09-25
    Report sent to call center — 6 months, dose 2, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-12-02

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna No
22021-03-27Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — 3 months, dose 2, dependent

2021-06-26

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

2021-09-25

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling · · ✓
HCVOOffice visit · · ✓
SDArthralgia · · ✓
SDFatigue · · ✓
SDJoint swelling · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRheumatoid arthritis ✓ ✓ ✓

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