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4UR-16101-21969

1 vaccination 4 coded responses 7 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
000
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Survey response — day 0, dose 1
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Im concerned. I take hydroxychloroquine for rheumatoid arthritis. Will it cancel it the inoculation and its ability to build antibodies?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea
    Free text: I take hydroxychloroquine for RA and have concerns about the drug preventing the formation of antibodies. Please see this study on the NIH website. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417363/
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Concern because I take hydroxychloroquine for RA that it will prevent the vaccine from creating antibodies to the virus. Please review this NIH paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417363/
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: I do not actually have any of these symptoms. I figured the only way to assure someone would review my concern is to check them all. Ive written several times with concerns that the hydroxychloroquine I take for my RA will prevent the vaccine from creating antibodies. Please review this NIH paper and someone please address this very real concern: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417363/
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): Im concerned. I take hydroxychloroquine for rheumatoid arthritis. Will it cancel it the inoculation and its ability to build antibodies?

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): I take hydroxychloroquine for RA and have concerns about the drug preventing the formation of antibodies. Please see this study on the NIH website. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417363/

2021-03-12

Systemic reaction (other): Concern because I take hydroxychloroquine for RA that it will prevent the vaccine from creating antibodies to the virus. Please review this NIH paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417363/

2021-03-13

Systemic reaction (other): I do not actually have any of these symptoms. I figured the only way to assure someone would review my concern is to check them all. Ive written several times with concerns that the hydroxychloroquine I take for my RA will prevent the vaccine from creating antibodies. Please review this NIH paper and someone please address this very real concern: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417363/

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
SROPre-existing disease ✓ ✓ ✓
SRORheumatoid arthritis ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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