Y46-31159-33568
4 vaccinations
6 coded responses
51 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 483 / MI
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-09
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodFree text: On day 9, I found a 2 inch round, red circle around the injection. It was not there previously. It was slightly swollen. I take methotrexate once a week for RA, so maybe it was related. It has faded now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-22
Dose 2 — Moderna
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-02-27
- 2021-02-28
- 2021-03-01
-
2021-03-08
Survey response — day 14, dose 2MedDRA: Arthralgia, Pre-existing disease, Rheumatoid arthritis — Feeling: FairFree text: Mildly achy joints. Not sure if related to Vaccination or Rheumatoid Arthritis. RA was well under control prior to vaccination though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-10-25
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Muscle or body achesFree text: I don't think it's vax related. I have RA and sometimes have random muscle and joint aches.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-08
- 2021-11-15
- 2021-11-22
-
2021-11-29
Survey response — day 35, dose 3MedDRA: Chills — Feeling: GoodFree text: Felt chilled, tired and achy after >65 flu shot last week. Glad I didn't combine with booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2022-01-24
- 2022-04-27
-
2022-05-14
Dose 4 — Moderna
- 2022-05-14
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-06-18
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2022-06-25
Survey response — day 42, dose 4MedDRA: Fatigue, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Head cold symptoms. Fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-13
- 2022-11-12
-
2023-05-16
Survey response — 12 months, dose 4MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-16
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-05-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-05-16 | Successful 2023-05-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 3 — day 14, dose 1
Symptoms: On day 9, I found a 2 inch round, red circle around the injection. It was not there previously. It was slightly swollen. I take methotrexate once a week for RA, so maybe it was related. It has faded now.
Release 5 — day 14, dose 2
Symptoms: Mildly achy joints. Not sure if related to Vaccination or Rheumatoid Arthritis. RA was well under control prior to vaccination though.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I don't think it's vax related. I have RA and sometimes have random muscle and joint aches.
Release 10 — day 35, dose 3
Symptoms: Felt chilled, tired and achy after >65 flu shot last week. Glad I didn't combine with booster.
Release 12 — day 42, dose 4
Symptoms: Head cold symptoms. Fatigue.
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 | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release