5D6-20502-43798
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 594 / MT
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Moderna
- 2021-02-04
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Fibromyalgia, Pain of skin, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My skin hurt, on my arms especially. I am newly diagnosed with fibromyalgia this shot seemed to amplify the symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Pain of skin — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: My skin still hurts, but not as bad as yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Migraine, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: It feels like it just enhanced my already RA symptoms and my migraine is trying to start.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness, Pre-existing disease — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: I'm experiencing my RA symptoms, still really stiff but getting better each day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Migraine — Feeling: Good · HeadacheFree text: The shot triggered a light migraine so I'm dealing with that now. Otherwise doing good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
- 2021-02-25
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2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My skin hurt, on my arms especially. I am newly diagnosed with fibromyalgia this shot seemed to amplify the symptoms.
Systemic reaction (other): My skin still hurts, but not as bad as yesterday.
Systemic reaction (other): It feels like it just enhanced my already RA symptoms and my migraine is trying to start.
Systemic reaction (other): I'm experiencing my RA symptoms, still really stiff but getting better each day.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The shot triggered a light migraine so I'm dealing with that now. Otherwise doing good.
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 |
|---|---|---|---|---|
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release