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
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2021-03-31
Registered in v-safe
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2021-03-31
Dose 1 — Moderna
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2021-03-31
Survey response — day 0, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: I have fibromyalgia so I have many of these symptoms regularlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: 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 workFree text: These are regular symptoms for me. Probably not related to injection other than the pain at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Basedow's disease, Fibromyalgia, Pain in extremity — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workFree text: My arms a little sore, but other than that, these are regular symptoms that I have because of the fibromyalgia/Graves diseaseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workFree text: My regular symptoms because of my other health issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
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2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Diarrhea · Be unable to workAdult check-in
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2021-04-07
Health check-in — day 7, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
- 2021-04-14
- 2021-04-21
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2021-04-28
Dose 2 — Moderna
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2021-04-28
Health check-in — day 0, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: I have Arthritis, fibromyalgia, and Graves disease, so I always have a moderate level of pain in my joints and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: All symptoms I have commonlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: These are normal conditions likely due to my other chronic health issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-05-05
Survey response — day 7, dose 2MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Fibromyalgia & spinal arthritis make these an everyday occurrenceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
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2021-05-26
Survey response — day 28, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Fibromyalgia flareMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
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2021-06-11
Survey response — day 42, dose 2MedDRA: Pain, Pain in extremity — Feeling: FairFree text: That weird throbbing in legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-28
- 2021-10-27
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): I have fibromyalgia so I have many of these symptoms regularly
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): These are regular symptoms for me. Probably not related to injection other than the pain at the injection site
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
Systemic reaction (other): My regular symptoms because of my other health issues
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I have Arthritis, fibromyalgia, and Graves disease, so I always have a moderate level of pain in my joints and fatigue
Systemic reaction (other): All symptoms I have commonly
Systemic reaction (other): These are normal conditions likely due to my other chronic health issues
Release 8 — day 7, dose 2
Systemic reaction (other): Fibromyalgia & spinal arthritis make these an everyday occurrence
Release 8 — day 28, dose 2
Symptoms: Fibromyalgia flare
Release 9 — day 42, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Basedow's disease | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release