6H3-23911-62770
3 vaccinations
8 coded responses
19 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 920 / CA
- Registered
- 2021-05-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-15
Dose 1 — Moderna
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2021-05-13
Dose 2 — Moderna
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2021-05-14
Registered in v-safe
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Only achy on the injection site side from head to footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: It seems to have spiked my fibromyalgia I am continuing my lyrica and that seems to help a bit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to workAdult check-in
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Fibromyalgia — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: I have fibromyalgia and am wondering if my symptoms are due to that. I do feel better every day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-20
- 2021-05-27
- 2021-06-03
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2021-06-10
Survey response — day 28, dose 2MedDRA: Condition aggravated, Muscle spasms, Muscle tightness, Pre-existing disease, Tension — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My fibromyalgia has been flaring up since I received my last shot. I have muscle tension in my back, calves and forearms that has been gradually getting worse. My normal treatments have bot been helping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
- 2021-06-24
- 2021-08-12
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2021-11-12
Survey response — 6 months, dose 2MedDRA: Cough — Feeling: FairFree text: Dry cough that happens a few times a day.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Dose 3 — Moderna
- 2022-04-29
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2022-04-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2022-05-02
Survey response — days 1–6 daily, dose 3MedDRA: Fibromyalgia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: FibromyalgiaMedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Survey response — days 1–6 daily, dose 3MedDRA: Fibromyalgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: FibromyalgiaMedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Survey response — days 1–6 daily, dose 3MedDRA: Fibromyalgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: FibromyalgiaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2022-04-29 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Only achy on the injection site side from head to foot
Systemic reaction (other): It seems to have spiked my fibromyalgia I am continuing my lyrica and that seems to help a bit.
Systemic reaction (other): I have fibromyalgia and am wondering if my symptoms are due to that. I do feel better every day.
Release 9 — day 28, dose 2
Symptoms: My fibromyalgia has been flaring up since I received my last shot. I have muscle tension in my back, calves and forearms that has been gradually getting worse. My normal treatments have bot been helping.
Release 10 — 6 months, dose 2
Symptoms: Dry cough that happens a few times a day.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Fibromyalgia
Systemic reaction (other): Fibromyalgia
Systemic reaction (other): Fibromyalgia
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 | Cough | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ○ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tension | ✓ | ✓ | ○ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release