6XU-19202-68934

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 954 / CA
Registered: 2021-01-15

Relationship: Self
Race: White
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: I have RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrointestinal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Sore I testines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Diverticulum, Rheumatoid arthritis — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: RA ,diverticulosis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Rheumatoid arthritis — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Slight left abdominal achiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Slight abdominal ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 28, dose 2
MedDRA: Lymph node pain — Feeling: Good

Free text: I have noticed since last fri that I have tender and slightly sore lymph nodes in left chest. They are better than last week but still sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 35, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Pain, Pre-existing disease — Feeling: Fair

Free text: Tired ,achy ,slight headache,joint pain - seems my RA has bothered me more since sunday last

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Lymph node pain, Oropharyngeal pain, Pain in extremity, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair

Free text: Had a sore throat last week and neg covid test on aug 6 . Have had ache in right arm upper probably lymph nodes sore. Will get mammogram and breast checkToday I have a bit of a runny nose . I take methotrexate

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): I have RA

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Sore I testines

2021-01-21

Systemic reaction (other): RA ,diverticulosis

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): I have RA

2021-02-16

Systemic reaction (other): Slight left abdominal achiness

2021-02-17

Systemic reaction (other): Slight abdominal ache

Release 5 — day 28, dose 2

2021-03-12

Symptoms: I have noticed since last fri that I have tender and slightly sore lymph nodes in left chest. They are better than last week but still sore.

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Tired ,achy ,slight headache,joint pain - seems my RA has bothered me more since sunday last

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Had a sore throat last week and neg covid test on aug 6 . Have had ache in right arm upper probably lymph nodes sore. Will get mammogram and breast checkToday I have a bit of a runny nose . I take methotrexate

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	Arthralgia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Diverticulum	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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