V4D-24155-17189
3 vaccinations
2 coded responses
4 check-ins
2 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 751 / TX
- Registered
- 2021-02-01
- Relationship
- Self
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 2 — Moderna
-
2021-02-01
Survey response — day 0, dose 2MedDRA: Arthritis, Fibromyalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Fibromyalgia and inflammatory arthritis- so above symptoms are normal for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Above symptoms happen on a daily basis due to underlying medical issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
-
2021-09-25
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-09-25 | Moderna | No |
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): Fibromyalgia and inflammatory arthritis- so above symptoms are normal for me
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Above symptoms happen on a daily basis due to underlying medical issues.
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 | Arthritis | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release