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42Z-33849-19884

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
214 / MD
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Dose 1 — Moderna
  2. 2021-03-19
    Registered in v-safe
  3. 2021-03-19
    Dose 2 — Moderna
  4. 2021-03-19
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Right hip pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Right hip pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fibromyalgia — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I am starting to think my Fibromyalgia reacted to the vaccine because the symptoms I now have are very similar to when my fibro acts up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches
    Free text: Again, I believe the vaccine may have triggered my fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  11. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  12. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-09-17
    Survey response — 6 months, dose 2
    MedDRA: Ageusia, Anosmia, Condition aggravated, Pre-existing disease, Respiratory tract infection, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Developed severe respiratory infection! CoVid tested neg x 3 but I cant imagine it not being Covid - had ALL symptoms Ive heard of including loss of taste and smell!!!!! Lasted 2+ weeks. I had a flare up of my Fibromyalgia - 1st in many
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-09-17
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  20. 2021-09-21
    Call successful
    Does not wish to fill out VAERS report
  21. 2022-03-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-19Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Right hip pain

2021-03-22

Systemic reaction (other): Right hip pain

2021-03-23

Systemic reaction (other): I am starting to think my Fibromyalgia reacted to the vaccine because the symptoms I now have are very similar to when my fibro acts up

2021-03-24

Systemic reaction (other): Again, I believe the vaccine may have triggered my fibromyalgia

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Developed severe respiratory infection! CoVid tested neg x 3 but I cant imagine it not being Covid - had ALL symptoms Ive heard of including loss of taste and smell!!!!! Lasted 2+ weeks. I had a flare up of my Fibromyalgia - 1st in many

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
SDAgeusia · · ✓
SDAnosmia · · ✓
SDCondition aggravated · · ✓
SDPre-existing disease · · ✓
SDRespiratory tract infection · · ✓
SDSARS-CoV-2 test negative · · ✓
SROArthralgia ✓ ✓ ✓
SROFibromyalgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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