377-67532-73854
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 764 / TX
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Fatigue, Myalgia, Pain, Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tirednessFree text: I Have Lupus, RA, Fibromyalgia, Dermatomyositis so I think the Pain in my Joints, Fatigue Muscle & Body Aches are just part of my "Normal" issues, I don't believe the shot is having anything to do with these issues, I'm just having one of my many Regular "Bad Days".MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-15
Survey response — day 14, dose 1MedDRA: Diarrhoea, Malaise, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: I was super sick, with throwing up & diarrhea on 3-9-21, stayed sick that Tuesday night & all Wednesday 3-10-21 didn't feel better until Thursday afternoon 3-11-21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dermatomyositis, Fibromyalgia, Pre-existing disease, Rheumatoid arthritis, Unevaluable event — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Think this is just my normal dermatomyositis lupus and fibromyalgia and rheumatoid arthritis painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I Have Lupus, RA, Fibromyalgia, Dermatomyositis so I think the Pain in my Joints, Fatigue Muscle & Body Aches are just part of my "Normal" issues, I don't believe the shot is having anything to do with these issues, I'm just having one of my many Regular "Bad Days".
Release 5 — day 14, dose 1
Symptoms: I was super sick, with throwing up & diarrhea on 3-9-21, stayed sick that Tuesday night & all Wednesday 3-10-21 didn't feel better until Thursday afternoon 3-11-21
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Think this is just my normal dermatomyositis lupus and fibromyalgia and rheumatoid arthritis pain
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dermatomyositis | ○ | ✓ | ○ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ○ | ✓ | ○ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ○ | ✓ | ○ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release