6GQ-18369-40238

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 773 / TX
Registered: 2021-03-11

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Loss of personal independence in daily activities, Pain, Pain in extremity, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Last night the pain in my arm made it to where i could barely move it. I could not cook or wash dishes nor sleep. Finally took 800mg ibuprofen and got some relief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Fatigue, Pain in extremity, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I was diagnosed with fibromyalgia and chronic fatigue syndrome back in 2009. Perhaps those health issues made my symptoms after the shot more painful than normal. Pain in arm is less today. But very tired after 7.5 hours of sleep last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Feeling better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Muscle ache near right arm pit & breast area. Same side as vaccine shot. Began last night. Unsure if related. However, I dont remember injuring the area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have fibromyalgia & cfs so the tiredness may be related to that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Gastrooesophageal reflux disease, Headache, Neck pain, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had heartburn & acid reflux that i couldnt get under control with tums or heartburn pill. Neck pain. Headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-15	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Last night the pain in my arm made it to where i could barely move it. I could not cook or wash dishes nor sleep. Finally took 800mg ibuprofen and got some relief.

2021-03-14

Systemic reaction (other): I was diagnosed with fibromyalgia and chronic fatigue syndrome back in 2009. Perhaps those health issues made my symptoms after the shot more painful than normal. Pain in arm is less today. But very tired after 7.5 hours of sleep last night.

2021-03-15

Systemic reaction (other): Feeling better today.

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Muscle ache near right arm pit & breast area. Same side as vaccine shot. Began last night. Unsure if related. However, I dont remember injuring the area.

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): I have fibromyalgia & cfs so the tiredness may be related to that.

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Had heartburn & acid reflux that i couldnt get under control with tums or heartburn pill. Neck pain. Headaches.

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	Condition aggravated	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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