4WJ-27630-96946

4 vaccinations 13 coded responses 27 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 752 / TX
Registered: 2021-01-18

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

2021-01-15
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Fibromyalgia, Pain, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: This time of day, its hard to distinguish how I feel from my usual (mostly) fibromyalgia pain and fatigue. Ill know later in the day when I should normally feel better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort, Sensory disturbance — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Once over the weekend and briefly late afternoon yesterday, my legs felt wobbly. It hasnt happened so far today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Though always present, a better fibromyalgia day, so it is hard to know of body pain and fatigue are still vaccination related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Survey response — day 0, dose 2
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: The usual fibromyalgia pain worsened by bad weather

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Waiting to see if I have some aching this time, but nothing yet. My fatigue is typical daily wipeouts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Fatigue, Headache, Pruritus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Yesterday after the form submission, I had slightly elevated temperature and intermittent itching all over. Today, just the crazy tiredness and some headache, but it could be partially due to the weather.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: None of the pain or fatigue was related to side effects!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: An unexpected nap more like deep sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Checked items normal, NOT related to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Aura, Balance disorder, Headache, Ophthalmic migraine — Feeling: Poor

Free text: Today I had an ocular migraine with zigzag aura followed by a strong headache and feeling wobbly.I cant know if this is connected to the vaccination. I do react strongly to coming negative weather changes. No days plans, so none were changed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Office visit, Pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Increased body pain · Healthcare visit (other): Dr ofc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-03
Dose 3 — Moderna
2021-12-03
Survey response — 3 months, dose 3
MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased pain and fatigue problems (nothing really new, been going on for years), weather conditional.

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-11
Dose 4 — Moderna
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-15
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: The pain and fatigue hav nothing to do with the vaccination

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-25	Moderna
3	2021-09-03	Moderna	No
4	2022-04-11	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): This time of day, its hard to distinguish how I feel from my usual (mostly) fibromyalgia pain and fatigue. Ill know later in the day when I should normally feel better.

2021-01-19

Systemic reaction (other): Once over the weekend and briefly late afternoon yesterday, my legs felt wobbly. It hasnt happened so far today.

2021-01-21

Systemic reaction (other): Though always present, a better fibromyalgia day, so it is hard to know of body pain and fatigue are still vaccination related.

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): The usual fibromyalgia pain worsened by bad weather

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Waiting to see if I have some aching this time, but nothing yet. My fatigue is typical daily wipeouts.

2021-02-28

Systemic reaction (other): Yesterday after the form submission, I had slightly elevated temperature and intermittent itching all over. Today, just the crazy tiredness and some headache, but it could be partially due to the weather.

2021-03-01

Systemic reaction (other): None of the pain or fatigue was related to side effects!

2021-03-02

Systemic reaction (other): An unexpected nap more like deep sleep.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Checked items normal, NOT related to vaccine

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Today I had an ocular migraine with zigzag aura followed by a strong headache and feeling wobbly.I cant know if this is connected to the vaccination. I do react strongly to coming negative weather changes. No days plans, so none were changed.

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Increased body pain

Healthcare visit (other): Dr ofc

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: Increased pain and fatigue problems (nothing really new, been going on for years), weather conditional.

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): The pain and fatigue hav nothing to do with the vaccination

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	Office visit	✓	✓	✓
SD	Aura	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Ophthalmic migraine	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Limb discomfort	○	✓	○
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sensory disturbance	✓	·	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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