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33L-10800-43268

5 vaccinations 21 coded responses 54 check-ins 21 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
267 / WV
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: I should note that I have an autoimmune disorder and take a biologic medication. I believe the arthritis symptoms have been exacerbated but not to a horrible degree.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Autoimmune disorder, Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Again, I have an autoimmune disorder, thus its possible the symptoms are exacerbated by the preexisting condition.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Fatigue, Myalgia, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Please note I have an autoimmune disorder, so symptoms of joint/muscle pain and chronic fatigue are typical.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms most likely due to autoimmune disorder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Due to autoimmune disorder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasopharyngitis, Pre-existing disease — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have an autoimmune disorder; additionally, late last night I felt minor cold symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Survey response — day 7, dose 1
    MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Symptoms are due to an autoimmune disorder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-08
    Dose 2 — Moderna
  14. 2021-04-08
    Survey response — day 0, dose 2
    MedDRA: Injection site pain, Injection site reaction, Musculoskeletal stiffness, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have a diagnosed autoimmune disorder, so it's not clear if symptoms are due to vaccine. Pain and stiffness at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Autoimmune disorder — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I suspect these symptoms are due to an autoimmune disorder and not the inoculation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Psoriatic arthropathy — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Please note these symptoms are due to a flare of psoriatic arthritis. It is the day prior to my scheduled injection of Enbrel.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  21. 2021-04-15
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Please note these symptoms are due to an autoimmune disorder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-13
    Dose 3 — Moderna
    Co-administered: Flu:Shingles
  30. 2021-10-30
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  31. 2021-11-03
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  32. 2021-11-10
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  33. 2021-11-17
    Health check-in — day 35, dose 3
    Feeling: Poor
    Adult check-in
  34. 2021-11-24
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  35. 2022-01-12
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  36. 2022-04-13
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  37. 2022-05-03
    Dose 4 — Moderna
  38. 2022-05-03
    Survey response — day 0, dose 4
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have psoriatic arthritis, so a number of the symptoms are due to the autoimmune issues.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Please note that I have an autoimmune disorder and thus many of these symptoms are typical.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-05
    Survey response — days 1–6 daily, dose 4
    MedDRA: Autoimmune disorder — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Please note that I have an autoimmune disorder.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-05-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My current symptoms are due to inclement weather's impact on an autoimmune disorder.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I'm very certain that symptoms are due to the effects of inclement weather on arthritis; pain is probably not due to the booster.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: I have psoriatic arthritis.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-09
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have psoriatic arthritis.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-05-10
    Survey response — day 7, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Have an autoimmune disorder.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-05-17
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  47. 2022-05-24
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  48. 2022-05-31
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-06-07
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  50. 2022-06-14
    Survey response — day 42, dose 4
    MedDRA: Arthritis, Inflammation, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Increased arthritis pain and inflammation not associated with Covid.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-08-02
    Health check-in — 3 months, dose 4
    Feeling: Poor
    Adult check-in
  52. 2022-10-03
    Dose 5 — Moderna
    Co-administered: Flu
  53. 2022-10-12
    Survey response — day 7, dose 5
    MedDRA: Adverse reaction, Autoimmune disorder — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: These symptoms are typical with my autoimmune disorder, and probably due to the booster.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-10-17
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-10-24
    Health check-in — day 21, dose 5
    Feeling: Poor
    Adult check-in
  56. 2022-10-31
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  57. 2022-11-07
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  58. 2022-11-14
    Health check-in — day 42, dose 5
    Feeling: Poor
    Adult check-in
  59. 2023-01-02
    Health check-in — 3 months, dose 5
    Feeling: Poor
    Adult check-in
  60. 2023-04-03
    Health check-in — 6 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna
32021-10-13Moderna Flu:Shingles
42022-05-03Moderna No
52022-10-03Moderna Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): I should note that I have an autoimmune disorder and take a biologic medication. I believe the arthritis symptoms have been exacerbated but not to a horrible degree.

2021-03-13

Systemic reaction (other): Again, I have an autoimmune disorder, thus its possible the symptoms are exacerbated by the preexisting condition.

2021-03-14

Systemic reaction (other): Please note I have an autoimmune disorder, so symptoms of joint/muscle pain and chronic fatigue are typical.

2021-03-15

Systemic reaction (other): Symptoms most likely due to autoimmune disorder.

2021-03-16

Systemic reaction (other): Due to autoimmune disorder.

2021-03-17

Systemic reaction (other): I have an autoimmune disorder; additionally, late last night I felt minor cold symptoms.

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Symptoms are due to an autoimmune disorder.

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): I have a diagnosed autoimmune disorder, so it's not clear if symptoms are due to vaccine. Pain and stiffness at injection site.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): I suspect these symptoms are due to an autoimmune disorder and not the inoculation.

2021-04-12

Systemic reaction (other): Please note these symptoms are due to a flare of psoriatic arthritis. It is the day prior to my scheduled injection of Enbrel.

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Please note these symptoms are due to an autoimmune disorder.

Release 11 — day 0, dose 4

2022-05-03

Systemic reaction (other): I have psoriatic arthritis, so a number of the symptoms are due to the autoimmune issues.

Release 11 — days 1–6 daily, dose 4

2022-05-04

Systemic reaction (other): Please note that I have an autoimmune disorder and thus many of these symptoms are typical.

2022-05-05

Systemic reaction (other): Please note that I have an autoimmune disorder.

2022-05-06

Systemic reaction (other): My current symptoms are due to inclement weather's impact on an autoimmune disorder.

2022-05-07

Systemic reaction (other): I'm very certain that symptoms are due to the effects of inclement weather on arthritis; pain is probably not due to the booster.

2022-05-08

Systemic reaction (other): I have psoriatic arthritis.

2022-05-09

Systemic reaction (other): I have psoriatic arthritis.

Release 11 — day 7, dose 4

2022-05-10

Systemic reaction (other): Have an autoimmune disorder.

Release 12 — day 42, dose 4

2022-06-14

Symptoms: Increased arthritis pain and inflammation not associated with Covid.

Release 12 — day 7, dose 5

2022-10-12

Systemic reaction (other): These symptoms are typical with my autoimmune disorder, and probably due to the booster.

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
SDArthritis · · ✓
SDInflammation · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SROAdverse reaction · · ✓
SROArthralgia ✓ ✓ ✓
SROAutoimmune disorder ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site reaction · · ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPsoriatic arthropathy ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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