4D7-16114-93490

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 657 / MO
Registered: 2021-02-17

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

Timeline

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

2021-02-14
Dose 1 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I have fibromyalgia and these could be related to my fibromyalgia pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have fibromyalgia and I am having a bad flare up. That is why these items are marked.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These are probably associated with my fibromyalgia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — day 7, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: I have fibromyalgia and I believe these pains are a result of this pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I have fibromyalgia so it could be that instead of the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease, Malaise — Feeling: Good · Chills, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Reflux most likely the cause but I have felt just terrible today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 7, 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: I have fibromyalgia so I have these pains everyday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Asthenia, COVID-19, Impaired driving ability, Medical counselling, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I caught the Covid virus and it held on for 3 weeks making me very weak and nauseous. · Healthcare visit (other): Phone call because I was to weak to drive.

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Moderna
2	2021-03-16	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): I have fibromyalgia and these could be related to my fibromyalgia pains

2021-02-19

Systemic reaction (other): I have fibromyalgia and I am having a bad flare up. That is why these items are marked.

2021-02-20

Systemic reaction (other): These are probably associated with my fibromyalgia.

Release 4 — day 7, dose 1

2021-02-21

Systemic reaction (other): I have fibromyalgia and I believe these pains are a result of this pain.

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): I have fibromyalgia so it could be that instead of the shot.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Reflux most likely the cause but I have felt just terrible today.

Release 6 — day 7, dose 2

2021-03-23

Systemic reaction (other): I have fibromyalgia so I have these pains everyday

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: I caught the Covid virus and it held on for 3 weeks making me very weak and nauseous.

Healthcare visit (other): Phone call because I was to weak to drive.

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
HCVO	Asthenia	·	·	✓
HCVO	Impaired driving ability	·	·	✓
HCVO	Medical counselling	·	·	✓
SD	Asthenia	·	·	✓
SD	COVID-19	·	·	✓
SD	Nausea	·	·	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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