6D8-10654-46491
1 vaccination
5 coded responses
15 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
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2021-01-19
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Urticarial papules on bilateral dorsal and palmar hands. Very itchy. Not Targetoid like erythema multiforme.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — day 21, dose 1MedDRA: Arthralgia, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Polymyosiyis symptoms. Severe joint and muscle aches and pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — day 28, dose 1MedDRA: Palindromic rheumatism, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I have been diagnosed with palindromic rheumatism which can be triggered by an allergic immune type of reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-09
Survey response — day 35, dose 1MedDRA: Immunisation reaction, Office visit, Palindromic rheumatism, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Diagnosed with palindromic rheumatism and started on high dose prednisone taper. Was instructed not to get second dose until discuss with rheumatologist. Awaiting appointment nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-17
Survey response — day 42, dose 1MedDRA: Palindromic rheumatism, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Diagnosed with palindromic rheumatism. All other rheum work up has been negative. Still on prednisone 20mg daily to keep enthesitis symptoms at bayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Report sent to call center — day 42, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-16
- 2021-07-06
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: Urticarial papules on bilateral dorsal and palmar hands. Very itchy. Not Targetoid like erythema multiforme.
Release 2 — day 21, dose 1
Symptoms: Polymyosiyis symptoms. Severe joint and muscle aches and pain.
Release 3 — day 28, dose 1
Symptoms: I have been diagnosed with palindromic rheumatism which can be triggered by an allergic immune type of reaction
Release 3 — day 35, dose 1
Symptoms: Diagnosed with palindromic rheumatism and started on high dose prednisone taper. Was instructed not to get second dose until discuss with rheumatologist. Awaiting appointment now
Release 4 — day 42, dose 1
Symptoms: Diagnosed with palindromic rheumatism. All other rheum work up has been negative. Still on prednisone 20mg daily to keep enthesitis symptoms at bay
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 | Immunisation reaction | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Palindromic rheumatism | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release