6NS-13663-62268

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 240 / VA
Registered: 2021-03-26

Relationship: Self
Race: White
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
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have fibromyalgia. Symptoms are more pronounced today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: It flaired my fibromyalgia.

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

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Arthralgia, Diverticulitis, Myalgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe pain, joint muscles, pain in lower left abdomen, diagnosed diverticulitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Dose 2 — Moderna
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Condition aggravated, Diverticulitis, Fibromyalgia, Gout, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia, gout, diverticulitis. Having all this at the same time. On Cipro. I think the shot just intensified the Fibro and gout joint pain.

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, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

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

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

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Survey response — day 35, dose 2
MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain and exhaustion. I have fibromyalgia and apparently gout. I am just not feeling well today. Also been having bouts of fluid retention gaining 2 or more pounds overnight. Have to take an extra diuretic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 42, dose 2
MedDRA: Dizziness, Fatigue, Fluid retention, Medical counselling, Pain, Pre-existing disease, Vision blurred — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fibromyalgia and Gout. Severe pain everywhere. Total exhaustion. Fluid retention gaining 2 to 3 lbs. In 24 hrs. once or twice a week. Lightheadedness along with intermittent blurred vision. Unfortunately progressing since vax. Being Treated by GP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Photopsia, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Huge floater and flashes of light in right eye

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): I have fibromyalgia. Symptoms are more pronounced today

2021-03-29

Systemic reaction (other): It flaired my fibromyalgia.

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Severe pain, joint muscles, pain in lower left abdomen, diagnosed diverticulitis

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Fibromyalgia, gout, diverticulitis. Having all this at the same time. On Cipro. I think the shot just intensified the Fibro and gout joint pain.

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Pain and exhaustion. I have fibromyalgia and apparently gout. I am just not feeling well today. Also been having bouts of fluid retention gaining 2 or more pounds overnight. Have to take an extra diuretic.

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Fibromyalgia and Gout. Severe pain everywhere. Total exhaustion. Fluid retention gaining 2 to 3 lbs. In 24 hrs. once or twice a week. Lightheadedness along with intermittent blurred vision. Unfortunately progressing since vax. Being Treated by GP. cut off by CDC

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Huge floater and flashes of light in right eye

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Diverticulitis	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fluid retention	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Photopsia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Vitreous floaters	·	·	✓
SRO	Arthralgia	✓	✓	○
SRO	Condition aggravated	✓	✓	✓
SRO	Diverticulitis	✓	✓	✓
SRO	Fibromyalgia	✓	✓	○
SRO	Gout	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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