58M-12901-65711

3 vaccinations 6 coded responses 34 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 857 / AZ
Registered: 2021-03-26

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-26
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Symptoms but definitely not as bad as the second day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 1
MedDRA: Muscle spasms, Muscle tightness, Myalgia, Neuralgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have fibromyalgia and I started with worsening symptoms- muscle tension, muscle spasms and nerve pain. Im not sure if this is a side effect or not but i have not been this bad in a long time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Dose 2 — Moderna
2021-04-30
Survey response — day 7, dose 2
MedDRA: Brain fog — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pain, Physiotherapy, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: My fibromyalgia has grown increasingly more painful and ive started psyhical therapy again. Not sure if it is related.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Back pain, Condition aggravated, Pain, Pre-existing disease, Spondylitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Worsening fibromyalgia pain, back pain and arthritis found in my neck. Probably all preexisting.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Dose 3 — Moderna
2021-11-03
Health check-in — day 0, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, 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
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Muscle or body aches

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Survey response — day 35, dose 3
MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Fair

Free text: Covid like symptoms but negitive covid test.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-04
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna
3	2021-11-03	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Symptoms but definitely not as bad as the second day.

Release 7 — day 21, dose 1

2021-04-16

Symptoms: I have fibromyalgia and I started with worsening symptoms- muscle tension, muscle spasms and nerve pain. Im not sure if this is a side effect or not but i have not been this bad in a long time.

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Brain fog

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: My fibromyalgia has grown increasingly more painful and ive started psyhical therapy again. Not sure if it is related.

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Worsening fibromyalgia pain, back pain and arthritis found in my neck. Probably all preexisting.

Release 10 — day 35, dose 3

2021-12-08

Symptoms: Covid like symptoms but negitive covid test.

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	Back pain	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Malaise	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain	✓	·	✓
SD	Physiotherapy	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Spondylitis	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Brain fog	✓	✓	✓

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