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68B-89086-04482

2 vaccinations 6 coded responses 9 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
448 / OH
Registered
2021-03-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-26
    Registered in v-safe
  3. 2021-03-26
    Survey response — day 21, dose 1
    MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Good
    Free text: I had a flare up of lupus with normal adverse symptoms as well as new adverse reactions.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-31
    Dose 2 — Moderna
  5. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chapped lips, Lip pain, Lip swelling — Feeling: Good · Site: Itching
    Free text: My lips swelled up after 1st shot and are still very sore and chapped.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Stomatitis — Feeling: Good
    Free text: Mouth sores
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Lupus flare up with new outbreak symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-09-29
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Repeated lupus flares with symptoms me since receiving the COVID vaccines. · Healthcare visit (other): PCP, dermatology, immunologist, and rheumatologist appointments.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-09-29
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-12-03
  14. 2022-03-31
    Survey response — 12 months, dose 2
    MedDRA: Office visit, Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Heightened lupus flare symptoms of long duration. · Healthcare visit (other): Office visits with PCP, dermatologist, immunologist, rheumatologist, and functional medicine doctors.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-03-31
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  16. 2022-04-04
  17. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-03-26

Symptoms: I had a flare up of lupus with normal adverse symptoms as well as new adverse reactions.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): My lips swelled up after 1st shot and are still very sore and chapped.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Mouth sores

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Lupus flare up with new outbreak symptoms

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Repeated lupus flares with symptoms me since receiving the COVID vaccines.
Healthcare visit (other): PCP, dermatology, immunologist, and rheumatologist appointments.

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Heightened lupus flare symptoms of long duration.
Healthcare visit (other): Office visits with PCP, dermatologist, immunologist, rheumatologist, and functional medicine doctors.

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
HCVOOffice visit · · ✓
SDCondition aggravated ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSystemic lupus erythematosus ✓ ✓ ✓
SROChapped lips ✓ ✓ ✓
SROLip pain ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SROStomatitis ✓ ✓ ✓

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