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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

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-30
    Dose 2 — Moderna
  3. 2021-08-25
    Dose 3 — Moderna
  4. 2022-05-20
    Registered in v-safe
  5. 2022-05-20
    Dose 4 — Moderna
  6. 2022-05-20
    Survey response — day 0, dose 4
    MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free 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 vaccine
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-05-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms listed above are chronic. No change after vaccination
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-05-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Chronic symptoms that are no worse than prior to vaccination
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-05-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Chronic conditions
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-05-26
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Chronic conditions
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-05-27
    Survey response — day 7, dose 4
    MedDRA: 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 activities
    Free 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 hig
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-06-03
    Survey response — day 14, dose 4
    MedDRA: Condition aggravated, Sensitivity to weather change — Feeling: Good · Be unable to do your normal daily activities
    Free 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 stiffness
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna No
22021-04-30Moderna No
32021-08-25Moderna No
42022-05-20Moderna No

Free text

Release 11 — day 0, dose 4

2022-05-20

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

2022-05-21

Systemic reaction (other): Symptoms listed above are chronic. No change after vaccination

2022-05-22

Systemic reaction (other): Chronic symptoms that are no worse than prior to vaccination

2022-05-24

Systemic reaction (other): Chronic conditions

2022-05-26

Systemic reaction (other): Chronic conditions

Release 11 — day 7, dose 4

2022-05-27

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

2022-06-03

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

FieldPreferred term2021-092023-042024-11
SDCondition aggravated · · ✓
SDSensitivity to weather change · · ✓
SROCondition aggravated · · ✓
SROPre-existing disease · · ✓
SROUnevaluable event · · ✓

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