5TX-19911-59962

5 vaccinations 17 coded responses 44 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 063 / CT
Registered: 2021-03-25

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

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Survey response — day 0, dose 1
MedDRA: Arthralgia, Fatigue, Myalgia, Pre-existing disease — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have fibromyalgia. I always have muscle & joint pain & fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Myalgia, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: i have fibromyalgia, so muscle & joint pain & fatigue are my baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have fibro. This is baseline.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Myalgia, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: muscle/joint pain are baseline for my fibro, fatigue is way up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: this is my fibro baseline

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

Free text: aches/pains & fatigue are mt fibro baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 1
MedDRA: Fatigue, Headache, Pain — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: aches/pains & fatigue are baseline for me. headache, not so much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-22
Survey response — day 0, dose 2
MedDRA: Arthralgia, Fatigue, Myalgia, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have fibromyalgia. My muscle & joint pain and fatigue are only slightly above baseline.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: brain fog, tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Eczema, Pre-existing disease, Rash — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash looks like an eczema flare on bilateral palms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Dehydration, Epistaxis, Office visit — Feeling: Fair

Free text: Heavy nosebleeds. ENT attributes this to dehydration. Primary care ordered bloodwork to rule out clotting problem. Results pending.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've been having peripheral parasthesias (bilateral hands & feet) since before getting the vaccine. They had been lessening, but this week, I've had days where i can barely hold a pen. Probably unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Back disorder, Chiropractic — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Threw out my back. · Healthcare visit (other): in-office chiropractor

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2022-04-22
Dose 4 — Moderna
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Exposure to SARS-CoV-2, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe cold in December. Tested negative for covid on 1 home test and 3 pcr tests. Spouse tested positive the flowing week.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-15
Dose 5 — Moderna
Co-administered: Flu
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-22
Health check-in — day 7, dose 5
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-29
Survey response — day 14, dose 5
MedDRA: Migraine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Multi-day migraine

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-12
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 42, dose 5
Feeling: Poor

Adult check-in
2023-01-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna
3	2021-11-12	Moderna	No
4	2022-04-22	Moderna	No
5	2022-10-15	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): I have fibromyalgia. I always have muscle & joint pain & fatigue.

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): i have fibromyalgia, so muscle & joint pain & fatigue are my baseline

2021-03-28

Systemic reaction (other): I have fibro. This is baseline.

2021-03-29

Systemic reaction (other): muscle/joint pain are baseline for my fibro, fatigue is way up

2021-03-30

Systemic reaction (other): this is my fibro baseline

2021-03-31

Systemic reaction (other): aches/pains & fatigue are mt fibro baseline

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): aches/pains & fatigue are baseline for me. headache, not so much

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): I have fibromyalgia. My muscle & joint pain and fatigue are only slightly above baseline.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): brain fog

2021-04-24

Systemic reaction (other): brain fog, tinnitus

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Rash looks like an eczema flare on bilateral palms

2021-04-28

Systemic reaction (other): tinnitus

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Heavy nosebleeds. ENT attributes this to dehydration. Primary care ordered bloodwork to rule out clotting problem. Results pending.

Release 8 — day 42, dose 2

2021-06-03

Symptoms: I've been having peripheral parasthesias (bilateral hands & feet) since before getting the vaccine. They had been lessening, but this week, I've had days where i can barely hold a pen. Probably unrelated.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Threw out my back.

Healthcare visit (other): in-office chiropractor

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Severe cold in December. Tested negative for covid on 1 home test and 3 pcr tests. Spouse tested positive the flowing week.

Release 12 — day 14, dose 5

2022-10-29

Symptoms: Multi-day migraine

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
HCVO	Chiropractic	·	·	✓
SD	Back disorder	·	·	✓
SD	Dehydration	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Eczema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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