YLY-78224-41679

3 vaccinations 13 coded responses 43 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 980 / WA
Registered: 2021-04-07

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Janssen/Johnson & Johnson
2021-04-07
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Eczema, Impaired work ability, Pre-existing disease, Sensitivity to weather change — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Worse symptoms for spoldyloarthritis, fibromyalgia, eczema triggering use of FMLA for 2 days. Suspect related to weather/pressure changes rather than vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 28, single dose
MedDRA: Arthralgia, Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Related to chronic conditions - spondyloarthritis and fibromyalgia - compounded with work stress. High joint pain and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 42, single dose
MedDRA: Pre-existing disease, Stress at work — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Related to chronic conditions (spondyloarthritis, fibromyalgia) and work stress, not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-06
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-11-24
Dose 2 — Moderna
2021-11-24
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Slight lightheadedness not reaching the point of dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-08
Survey response — day 14, dose 2
MedDRA: Lip infection, Rhinorrhoea — Feeling: Good

Free text: Infection on upper lip related to runny nose, have scheduled appointment.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fibromyalgia and spondyloarthritis flareup

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — day 28, dose 2
MedDRA: Impetigo, Onycholysis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Impetigo infectionon upper lip, oncycholysis in 3 toenails. I am immunosuppressed with a history of thyroid issues so it is likely just a result of these preexisting conditions.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Impetigo, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening spondyloarthritis and fibromyalgia symptoms, persistent impetigo infection.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair

Free text: Fibromyalgia and spondyloarthritis flareups, but likely due to seasonality

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Stress — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Work and personal stress induced flareups of existing conditions (fibromyalgia, spondyloarthritis).

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Dose 3 — Moderna
2022-05-27
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Am also in the middle of severe flareup of fibromyalgia.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — 6 months, dose 2
MedDRA: Peripheral spondyloarthritis, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Worsening fibro and spondyloarthritis from overwork.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-06-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2022-06-02
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2022-06-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-06-16
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-06-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-25
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Worsening fibromyalgia and spondyloarthritis symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Janssen/Johnson & Johnson
2	2021-11-24	Moderna	No
3	2022-05-26	Moderna	No

Free text

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Worse symptoms for spoldyloarthritis, fibromyalgia, eczema triggering use of FMLA for 2 days. Suspect related to weather/pressure changes rather than vaccine.

Release 8 — day 28, single dose

2021-05-05

Symptoms: Related to chronic conditions - spondyloarthritis and fibromyalgia - compounded with work stress. High joint pain and fatigue.

Release 8 — day 42, single dose

2021-05-19

Symptoms: Related to chronic conditions (spondyloarthritis, fibromyalgia) and work stress, not related to vaccine.

Release 10 — day 0, dose 2

2021-11-24

Systemic reaction (other): Slight lightheadedness not reaching the point of dizziness

Release 10 — day 14, dose 2

2021-12-08

Symptoms: Infection on upper lip related to runny nose, have scheduled appointment.

Release 10 — day 21, dose 2

2021-12-15

Symptoms: Fibromyalgia and spondyloarthritis flareup

Release 10 — day 28, dose 2

2021-12-22

Symptoms: Impetigo infectionon upper lip, oncycholysis in 3 toenails. I am immunosuppressed with a history of thyroid issues so it is likely just a result of these preexisting conditions.

Release 10 — day 35, dose 2

2021-12-29

Symptoms: Worsening spondyloarthritis and fibromyalgia symptoms, persistent impetigo infection.

Release 10 — day 42, dose 2

2022-01-06

Symptoms: Fibromyalgia and spondyloarthritis flareups, but likely due to seasonality

Release 11 — 3 months, dose 2

2022-02-23

Symptoms: Work and personal stress induced flareups of existing conditions (fibromyalgia, spondyloarthritis).

Release 11 — 6 months, dose 2

2022-05-27

Symptoms: Worsening fibro and spondyloarthritis from overwork.

Release 11 — days 1–6 daily, dose 3

2022-05-27

Systemic reaction (other): Am also in the middle of severe flareup of fibromyalgia.

Release 12 — 3 months, dose 3

2022-08-25

Symptoms: Worsening fibromyalgia and spondyloarthritis symptoms

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	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Eczema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Impetigo	·	·	✓
SD	Lip infection	·	·	✓
SD	Onycholysis	·	·	✓
SD	Peripheral spondyloarthritis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sensitivity to weather change	✓	✓	✓
SD	Stress	·	·	✓
SD	Stress at work	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Pre-existing disease	·	·	✓

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