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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

  1. 2021-04-15
    Dose 1 — Moderna
  2. 2021-05-13
    Dose 2 — Moderna
  3. 2021-05-14
    Registered in v-safe
  4. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Only achy on the injection site side from head to foot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  6. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to work
    Adult check-in
  7. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fibromyalgia — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free 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
  8. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2021-05-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-10
    Survey response — day 28, dose 2
    MedDRA: Condition aggravated, Muscle spasms, Muscle tightness, Pre-existing disease, Tension — Feeling: Poor · Be unable to do your normal daily activities
    Free 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
  13. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-11-12
    Survey response — 6 months, dose 2
    MedDRA: Cough — Feeling: Fair
    Free text: Dry cough that happens a few times a day.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-04-29
    Dose 3 — Moderna
  18. 2022-04-29
    Health check-in — day 0, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  19. 2022-04-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  20. 2022-05-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fibromyalgia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Fibromyalgia
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-05-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fibromyalgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Fibromyalgia
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-05-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fibromyalgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Fibromyalgia
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-05-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-13Moderna
32022-04-29Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Only achy on the injection site side from head to foot

2021-05-15

Systemic reaction (other): It seems to have spiked my fibromyalgia I am continuing my lyrica and that seems to help a bit.

2021-05-18

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

2021-06-10

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

2021-11-12

Symptoms: Dry cough that happens a few times a day.

Release 11 — days 1–6 daily, dose 3

2022-05-02

Systemic reaction (other): Fibromyalgia

2022-05-03

Systemic reaction (other): Fibromyalgia

2022-05-04

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

FieldPreferred term2021-092023-042024-11
SDCondition aggravated ✓ ✓ ✓
SDCough · · ✓
SDMuscle spasms ✓ ✓ ○
SDMuscle tightness · · ✓
SDPre-existing disease ✓ ✓ ✓
SDTension ✓ ✓ ○
SROFibromyalgia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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