6QZ-22040-40437
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I have PMR & RA so many of the above symptoms I have every day but none have gotten worse since the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Due to my PMR not the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — day 7, dose 1MedDRA: Polymyalgia rheumatica — Feeling: Good · Fatigue or tirednessFree text: Just normal for my condition PMRMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-26
Survey response — day 14, dose 2MedDRA: Injection site erythema — Feeling: GoodFree text: On day 8 a large red band appeared across my arm below the injection site. No associated pain. Now a week later I can just barely see it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 35, dose 2MedDRA: Pain — Feeling: FairFree text: My whole body is achy today but maybe its a flair, I have PMR & RAMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-05-14
-
2021-08-13
Survey response — 6 months, dose 2MedDRA: Fall, Foot fracture, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I fell and broke 3 bones in my right foot · Healthcare visit (other): PodiatristMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-13
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
- 2022-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I have PMR & RA so many of the above symptoms I have every day but none have gotten worse since the shot.
Systemic reaction (other): Due to my PMR not the shot.
Release 2 — day 7, dose 1
Systemic reaction (other): Just normal for my condition PMR
Release 4 — day 14, dose 2
Symptoms: On day 8 a large red band appeared across my arm below the injection site. No associated pain. Now a week later I can just barely see it.
Release 5 — day 35, dose 2
Symptoms: My whole body is achy today but maybe its a flair, I have PMR & RA
Release 9 — 6 months, dose 2
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 | Fall | ✓ | · | ✓ |
| SD | Foot fracture | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Polymyalgia rheumatica | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release