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Y9L-17070-42926

3 vaccinations 8 coded responses 22 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
870 / NM
Registered
2021-03-16
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
N/A
Registered dependents
2FK-33130-48589 Other · Male · 2022-10-18

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Survey response — day 0, dose 1
    MedDRA: Arthralgia, Back pain, Chest pain, Headache, Neck pain, Neuralgia, Pain — Feeling: Good · Headache, Joint pains, Muscle or body aches
    Free text: I have chronic pain which includes headaches, neck, chest, shoulder, entire back and nerve pain. So, the pain that I am feeling coincides with my chronic pain. Otherwise, no new pain. Feels the same as usual. Taking my pain medication has toned down all my pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches
    Free text: With my chronic pain, it's just another day dealing with pain. But, there is NO new or extra added pain, just my usual chronic pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Muscle or body aches
    Free text: Just my regular chronic pain, nothing unusual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  7. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  8. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free text: It's probably my regular chronic pain symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-23
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I'm pretty sure my pain is associated with the weather change. Cloudy with cold wind.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-06
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Painful muscle aches, shoulder joints and feeling tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-13
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Chills, Condition aggravated, Feeling cold, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My chronic pain seems to intensify on some days. Joint aches suddenly start and last for several hours. Feeling an oncoming cold that never happens. Some chills and coldness appear then disappear.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-16
    Dose 2 — Moderna
  14. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-23
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-04-30
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-05-07
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-05-14
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-05-21
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-28
    Survey response — day 42, dose 2
    MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My pain seems to have amplified. Not sure why but it's managed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-07-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-01
    Dose 3 — Moderna
  26. 2022-04-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-16Moderna
32021-12-01Moderna No

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): I have chronic pain which includes headaches, neck, chest, shoulder, entire back and nerve pain. So, the pain that I am feeling coincides with my chronic pain. Otherwise, no new pain. Feels the same as usual. Taking my pain medication has toned down all my pain.

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): With my chronic pain, it's just another day dealing with pain. But, there is NO new or extra added pain, just my usual chronic pain.

2021-03-18

Systemic reaction (other): Just my regular chronic pain, nothing unusual.

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): It's probably my regular chronic pain symptoms.

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): I'm pretty sure my pain is associated with the weather change. Cloudy with cold wind.

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Painful muscle aches, shoulder joints and feeling tired.

Release 7 — day 28, dose 1

2021-04-13

Symptoms: My chronic pain seems to intensify on some days. Joint aches suddenly start and last for several hours. Feeling an oncoming cold that never happens. Some chills and coldness appear then disappear.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: My pain seems to have amplified. Not sure why but it's managed.

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
SDArthralgia ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling cold ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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