3FJ-25142-97113

4 vaccinations 10 coded responses 26 check-ins 9 free-text entries 0 call cases

Sex: —
Age at first dose: 26-30
ZIP prefix: 980 / WA
Registered: 2021-05-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-02
Registered in v-safe
2021-05-02
Dose 1 — Moderna
2021-05-02
Survey response — day 0, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Already had symptoms due to fibromyalgia pain and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Have fibromyalgia but seems to have caused a flare.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still a little worse than normal with my fibromyalgia but getting back to average levels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Almost back to fibromyalgia baseline of those symptoms for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-04
Dose 2 — Moderna
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Vaccine is causing a fibromyalgia flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia flare due to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia flare from vaccine is starting to calm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Fibromyalgia, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Still mildly exaggerated fibromyalgia flare but starting to calm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 7, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Still a but of a fibromyalgia flare up form vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-20
Dose 3 — Moderna
2022-06-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-14
Dose 4 — Moderna
Co-administered: Flu
2023-01-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-14
Survey response — 6 months, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-02	Moderna
2	2021-06-04	Moderna
3	2021-12-20	Moderna	No
4	2022-10-14	Moderna	Flu

Free text

Release 8 — day 0, dose 1

2021-05-02

Systemic reaction (other): Already had symptoms due to fibromyalgia pain and fatigue

Release 8 — days 1–6 daily, dose 1

2021-05-03

Systemic reaction (other): Have fibromyalgia but seems to have caused a flare.

2021-05-06

Systemic reaction (other): Still a little worse than normal with my fibromyalgia but getting back to average levels

2021-05-07

Systemic reaction (other): Almost back to fibromyalgia baseline of those symptoms for me

Release 8 — days 1–6 daily, dose 2

2021-06-06

Systemic reaction (other): Vaccine is causing a fibromyalgia flare

2021-06-07

Systemic reaction (other): Fibromyalgia flare due to vaccine.

2021-06-08

Systemic reaction (other): Fibromyalgia flare from vaccine is starting to calm

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): Still mildly exaggerated fibromyalgia flare but starting to calm

Release 9 — day 7, dose 2

2021-06-11

Systemic reaction (other): Still a but of a fibromyalgia flare up form vaccine

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	Condition aggravated	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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