5NH-13774-24783
4 vaccinations
7 coded responses
7 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 860 / AZ
- Registered
- 2022-05-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-01
Dose 1 — Moderna
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2021-04-30
Dose 2 — Moderna
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2021-08-25
Dose 3 — Moderna
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2022-05-20
Registered in v-safe
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2022-05-20
Dose 4 — Moderna
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2022-05-20
Survey response — day 0, dose 4MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: The symptoms noted above are chronic and due to fibromyalgia and degenerative disc disease of the lumbar spine. . Symptoms today are typical and none that I can attribute to the vaccineMedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Symptoms listed above are chronic. No change after vaccinationMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chronic symptoms that are no worse than prior to vaccinationMedDRA releases: 2024-11 · check-in free text available
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2022-05-24
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chronic conditionsMedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chronic conditionsMedDRA releases: 2024-11 · check-in free text available
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2022-05-27
Survey response — day 7, dose 4MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These are chronic conditions. The stiffness and muscle pain are worse today but joint symptoms are about the same. I've found that low pressure systems tend to cause an increase in my symptoms. A low pressure system that came in yesterday brought higMedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Survey response — day 14, dose 4MedDRA: Condition aggravated, Sensitivity to weather change — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fibromyalgia flare due to low pressure system that stayed around for several days associated with heavy pine pollen drop. Experienced severe widespread pain, excessive fatigue and muscle and joint stiffnessMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | No |
| 2 | 2021-04-30 | Moderna | No |
| 3 | 2021-08-25 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
Free text
Release 11 — day 0, dose 4
Systemic reaction (other): The symptoms noted above are chronic and due to fibromyalgia and degenerative disc disease of the lumbar spine. . Symptoms today are typical and none that I can attribute to the vaccine
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Symptoms listed above are chronic. No change after vaccination
Systemic reaction (other): Chronic symptoms that are no worse than prior to vaccination
Systemic reaction (other): Chronic conditions
Systemic reaction (other): Chronic conditions
Release 11 — day 7, dose 4
Systemic reaction (other): These are chronic conditions. The stiffness and muscle pain are worse today but joint symptoms are about the same. I've found that low pressure systems tend to cause an increase in my symptoms. A low pressure system that came in yesterday brought hig cut off by CDC
Release 11 — day 14, dose 4
Symptoms: Fibromyalgia flare due to low pressure system that stayed around for several days associated with heavy pine pollen drop. Experienced severe widespread pain, excessive fatigue and muscle and joint stiffness
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 | Condition aggravated | · | · | ✓ |
| SD | Sensitivity to weather change | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release