4HZ-13197-51457
4 vaccinations
12 coded responses
55 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 063 / CT
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · HeadacheAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
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2021-04-16
Survey response — day 14, dose 2MedDRA: Body temperature increased — Feeling: GoodFree text: Temp 100.5 for 4 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Inflammation, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Inflammation in body. · Healthcare visit (other): Dr officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-02
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-07
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Office visit, Polymyalgia rheumatica — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: POLYMYALGIA RHEUMATICA · Healthcare visit (other): Dr apptMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-11-13
Dose 3 — Moderna
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2021-11-13
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Vaccine activated a POLYMYALGIA flareMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Polymyalgia rheumatica, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Activated a flare with PMRMedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Polymyalgia rheumatica, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Flare of PMR after vaccineMedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Polymyalgia rheumatica, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Still in a flare with PMR after vaccineMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-11-19
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2021-11-20
Health check-in — day 7, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-28
- 2021-12-04
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2021-12-11
Survey response — day 28, dose 3MedDRA: Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Flare of POLYMYALGIAMedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
- 2021-12-27
- 2022-02-12
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2022-06-22
Dose 4 — Moderna
- 2022-06-22
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2022-06-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
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2022-06-24
Survey response — days 1–6 daily, dose 4MedDRA: Polymyalgia rheumatica, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Made me flare with my POLYMYALGIA RHEUMATICA and had to up prednisone.MedDRA releases: 2024-11 · check-in free text available
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2022-06-25
Survey response — days 1–6 daily, dose 4MedDRA: Polymyalgia rheumatica, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: Vaccine gave me a POLYMYALGIA RHEUMATICA flareMedDRA releases: 2024-11 · check-in free text available
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2022-06-26
Survey response — days 1–6 daily, dose 4MedDRA: Myalgia, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body achesFree text: Booster activated my POLYMYALGIA in a flareMedDRA releases: 2024-11 · check-in free text available
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2022-06-27
Survey response — days 1–6 daily, dose 4MedDRA: Polymyalgia rheumatica, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Booster put me in a flare POLYMYALGIA RHEUMATICAMedDRA releases: 2024-11 · check-in free text available
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2022-06-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2022-06-29
- 2022-07-07
- 2022-07-15
- 2022-07-20
- 2022-07-27
- 2022-08-03
- 2022-09-21
- 2022-12-23
- 2023-06-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-06-22 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — day 14, dose 2
Symptoms: Temp 100.5 for 4 days
Release 9 — 3 months, dose 2
Release 9 — 6 months, dose 2
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Vaccine activated a POLYMYALGIA flare
Systemic reaction (other): Activated a flare with PMR
Systemic reaction (other): Flare of PMR after vaccine
Systemic reaction (other): Still in a flare with PMR after vaccine
Release 10 — day 28, dose 3
Symptoms: Flare of POLYMYALGIA
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Made me flare with my POLYMYALGIA RHEUMATICA and had to up prednisone.
Systemic reaction (other): Vaccine gave me a POLYMYALGIA RHEUMATICA flare
Systemic reaction (other): Booster activated my POLYMYALGIA in a flare
Systemic reaction (other): Booster put me in a flare POLYMYALGIA RHEUMATICA
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Polymyalgia rheumatica | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Polymyalgia rheumatica | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release