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4B7-19123-23155

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
800 / CO
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Moderna
  3. 2021-03-31
    Survey response — day 0, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: I have fibromyalgia so I have many of these symptoms regularly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Injection site pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Free text: These are regular symptoms for me. Probably not related to injection other than the pain at the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Basedow's disease, Fibromyalgia, Pain in extremity — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Free text: My arms a little sore, but other than that, these are regular symptoms that I have because of the fibromyalgia/Graves disease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Free text: My regular symptoms because of my other health issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to work
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Diarrhea · Be unable to work
    Adult check-in
  10. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Adult check-in
  11. 2021-04-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-21
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-28
    Dose 2 — Moderna
  14. 2021-04-28
    Health check-in — day 0, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Adult check-in
  15. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I have Arthritis, fibromyalgia, and Graves disease, so I always have a moderate level of pain in my joints and fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: All symptoms I have commonly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  18. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: These are normal conditions likely due to my other chronic health issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  20. 2021-05-05
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Fibromyalgia & spinal arthritis make these an everyday occurrence
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-05-26
    Survey response — day 28, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Fibromyalgia flare
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-02
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-06-11
    Survey response — day 42, dose 2
    MedDRA: Pain, Pain in extremity — Feeling: Fair
    Free text: That weird throbbing in leg
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-27
    Health check-in — 6 months, dose 2
    Feeling: Poor
    Adult check-in
  28. 2022-04-28
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): I have fibromyalgia so I have many of these symptoms regularly

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): These are regular symptoms for me. Probably not related to injection other than the pain at the injection site

2021-04-02

Systemic reaction (other): My arms a little sore, but other than that, these are regular symptoms that I have because of the fibromyalgia/Graves disease

2021-04-03

Systemic reaction (other): My regular symptoms because of my other health issues

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): I have Arthritis, fibromyalgia, and Graves disease, so I always have a moderate level of pain in my joints and fatigue

2021-05-01

Systemic reaction (other): All symptoms I have commonly

2021-05-03

Systemic reaction (other): These are normal conditions likely due to my other chronic health issues

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Fibromyalgia & spinal arthritis make these an everyday occurrence

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Fibromyalgia flare

Release 9 — day 42, dose 2

2021-06-11

Symptoms: That weird throbbing in leg

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
SDCondition aggravated ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBasedow's disease ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFibromyalgia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ○ ✓ ○

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