53R-22952-89734

2 vaccinations 13 coded responses 17 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 371 / TN
Registered: 2021-03-09

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Heartburn, GERD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphonia, Respiratory tract congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lower Respiratory Congestion, hoarseness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 1
MedDRA: Anxiety — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Anxiety, may not be related to vaccine but just situational circumstances

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Migraine, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increase in fibromyalgia symptoms, could be weather related, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 21, dose 1
MedDRA: Arthralgia, Fibromyalgia, Migraine, Pain, Weight increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fibromyalgia pain & migraine, joint pain, inc blood pressure (possibly related to increase in pain), weight gain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 28, dose 1
MedDRA: Arthralgia, Condition aggravated, Headache, Muscle tightness, Myalgia, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bad fibromyalgia, muscles burning & tight, joint pain with heat, headaches.Supposed to get 2nd Covid vaccine tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Dose 2 — Moderna
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fatigue, Fibromyalgia, Muscle twitching, Somnolence — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fibromyalgia flare up, warm/ painful joints, on one side of the body, muscle twitches, extreme sleepiness & fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — day 7, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chronic fatigue/ fibromyalgia flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 21, dose 2
MedDRA: Joint swelling, Neuralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen joints, nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Asthenia, Electric shock sensation, Headache, Myalgia, Neuralgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nerve pain& electrical shocks, dropping objects, weakness, severe muscle pain, headachesAll on one side of the body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Cardiac disorder, Condition aggravated, Fatigue, Headache, Hypertension, Migraine, Palpitations, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cardiac issues: Hypertension, palpitations, increase in fibromyalgia pain and chronic fatigue, inc in headaches and migraines.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-07	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Weakness

2021-03-11

Systemic reaction (other): Heartburn, GERD

2021-03-14

Systemic reaction (other): Lower Respiratory Congestion, hoarseness

2021-03-15

Systemic reaction (other): Migraine

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Anxiety, may not be related to vaccine but just situational circumstances

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Increase in fibromyalgia symptoms, could be weather related, migraine

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Fibromyalgia pain & migraine, joint pain, inc blood pressure (possibly related to increase in pain), weight gain

Release 7 — day 28, dose 1

2021-04-06

Symptoms: Bad fibromyalgia, muscles burning & tight, joint pain with heat, headaches.Supposed to get 2nd Covid vaccine tomorrow.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Fibromyalgia flare up, warm/ painful joints, on one side of the body, muscle twitches, extreme sleepiness & fatigue

Release 7 — day 7, dose 2

2021-04-18

Systemic reaction (other): Chronic fatigue/ fibromyalgia flare up

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Swollen joints, nerve pain

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Nerve pain& electrical shocks, dropping objects, weakness, severe muscle pain, headachesAll on one side of the body

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Cardiac issues: Hypertension, palpitations, increase in fibromyalgia pain and chronic fatigue, inc in headaches and migraines.

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Cardiac disorder	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Electric shock sensation	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Fibromyalgia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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