5VF-48742-75852
4 vaccinations
7 coded responses
12 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 145 / NY
- Registered
- 2022-11-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Moderna
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2021-05-11
Dose 2 — Moderna
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2022-02-01
Dose 3 — Moderna
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2022-11-14
Registered in v-safe
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2022-11-14
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-14
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2022-11-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2022-11-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2022-11-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2022-11-23
Survey response — day 7, dose 4MedDRA: Breast tenderness, Sensitive skin, Tenderness — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I felt like i was getting Shingles. Really sensitive pain when touching breast to rib area. Ive had it, so i know how it feels.MedDRA releases: 2024-11 · check-in free text available
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2022-11-30
Survey response — day 14, dose 4MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feels like Shingles, still. But no skin/ surface symptoms. Very achey all over..more than the usual fibromyalgia aches.MedDRA releases: 2024-11 · check-in free text available
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2022-12-07
Survey response — day 21, dose 4MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very painful joints all over.MedDRA releases: 2024-11 · check-in free text available
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2022-12-12
Survey response — day 28, dose 4MedDRA: Arthralgia, Fibromyalgia, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe joint pain, muscle pain..more than the usual that comes with fibromyalgiaMedDRA releases: 2024-11 · check-in free text available
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2022-12-19
Survey response — day 35, dose 4MedDRA: Burning sensation, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Lots of aching and burning in arms, hands, fingers and legsMedDRA releases: 2024-11 · check-in free text available
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2022-12-26
Survey response — day 42, dose 4MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe Pain in one foot, joints at the top of my legs are killing me. Never had these issues before.MedDRA releases: 2024-11 · check-in free text available
- 2023-02-15
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2023-05-15
Survey response — 6 months, dose 4MedDRA: Upper respiratory tract infection — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | No |
| 2 | 2021-05-11 | Moderna | No |
| 3 | 2022-02-01 | Moderna | No |
| 4 | 2022-11-14 | Pfizer-BioNTech | Flu |
Free text
Release 12 — day 7, dose 4
Systemic reaction (other): I felt like i was getting Shingles. Really sensitive pain when touching breast to rib area. Ive had it, so i know how it feels.
Release 12 — day 14, dose 4
Symptoms: Feels like Shingles, still. But no skin/ surface symptoms. Very achey all over..more than the usual fibromyalgia aches.
Release 12 — day 21, dose 4
Symptoms: Very painful joints all over.
Release 12 — day 28, dose 4
Symptoms: Severe joint pain, muscle pain..more than the usual that comes with fibromyalgia
Release 12 — day 35, dose 4
Symptoms: Lots of aching and burning in arms, hands, fingers and legs
Release 12 — day 42, dose 4
Symptoms: Severe Pain in one foot, joints at the top of my legs are killing me. Never had these issues before.
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 | Arthralgia | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fibromyalgia | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Breast tenderness | · | · | ✓ |
| SRO | Sensitive skin | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release