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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

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-19
    Survey response — day 14, dose 1
    MedDRA: Pruritus — Feeling: Good
    Free 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
  12. 2021-01-26
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Myalgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Polymyosiyis symptoms. Severe joint and muscle aches and pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-02
    Survey response — day 28, dose 1
    MedDRA: 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 visit
    Free text: I have been diagnosed with palindromic rheumatism which can be triggered by an allergic immune type of reaction
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-02
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-02-09
    Survey response — day 35, dose 1
    MedDRA: 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 consultation
    Free 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 now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-09
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-02-17
    Survey response — day 42, dose 1
    MedDRA: 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 consultation
    Free text: Diagnosed with palindromic rheumatism. All other rheum work up has been negative. Still on prednisone 20mg daily to keep enthesitis symptoms at bay
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-17
    Report sent to call center — day 42, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-06-16
  20. 2021-07-06
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  21. 2022-01-05
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Urticarial papules on bilateral dorsal and palmar hands. Very itchy. Not Targetoid like erythema multiforme.

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Polymyosiyis symptoms. Severe joint and muscle aches and pain.

Release 3 — day 28, dose 1

2021-02-02

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

2021-02-09

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

2021-02-17

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDImmunisation reaction ✓ · ✓
SDMyalgia ✓ ✓ ✓
SDOffice visit ✓ · ✓
SDPalindromic rheumatism ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDUnevaluable event ○ ✓ ○

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