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YMK-29049-34113

5 vaccinations 22 coded responses 53 check-ins 22 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
223 / VA
Registered
2021-02-12
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Registered in v-safe
  2. 2021-02-12
    Dose 1 — Moderna
  3. 2021-02-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Dose 2 — Moderna
  14. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: I have fibromyalgia. I think it triggered a flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-15
    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 do your normal daily activities
    Free text: I have fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-19
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-09-22
    Dose 3 — Moderna
  30. 2021-09-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have fibromyalgia. The side effects trigger a bad flare up.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-09-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have fibromyalgia. My fever and BP are normal but the body pain & fatigue are awful
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-09-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have fibromyalgia. The booster shot has triggered a difficult flare up.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-09-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Balance disorder, Condition aggravated, Muscular weakness, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have fibromyalgia. The shot has caused a tough flare up. My balance is still unstable. My legs feel weak.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-09-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Condition aggravated, Dizziness, Muscular weakness, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have fibromyalgia. The shot triggered a bad flare up. I also feel dizzy and have weak legs.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-09-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  36. 2021-09-29
    Survey response — day 7, dose 3
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: My symptoms triggered fibromyalgia flare up.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-10-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-10-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-10-28
    Survey response — day 35, dose 3
    MedDRA: Brain fog, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Increasingly more brain fog and fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-11-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-24
    Survey response — 3 months, dose 3
    MedDRA: Brain fog, Fatigue, Muscle twitching — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Increased brain fog, fatigue, & muscle twitching.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-03-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-03-30
    Dose 4 — Moderna
  45. 2022-04-14
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-04-20
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  47. 2022-04-27
    Survey response — day 28, dose 4
    MedDRA: Arthralgia, Brain fog, Condition aggravated, Fatigue, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Increased brain fog, fatigue, muscle and joint pain. I have fibromyalgia but the flare ups have been far more frequent since receiving the vaccine and boosters.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-05-04
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  49. 2022-05-11
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  50. 2022-07-01
    Survey response — 3 months, dose 4
    MedDRA: Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Urinary Tract Infection
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-09-06
    Dose 5 — Moderna
  52. 2022-09-12
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  53. 2022-09-21
    Survey response — day 14, dose 5
    MedDRA: Brain fog, Diarrhoea, Lymphadenopathy, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Brain fog, pain, diarrhea, swollen glands
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-09-29
    Survey response — day 21, dose 5
    MedDRA: Diplopia, Dizziness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Dizziness, double vision
    MedDRA releases: 2024-11 · check-in free text available
  55. 2022-10-06
    Survey response — day 28, dose 5
    MedDRA: Arthralgia, Myalgia, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, muscle & joint pain
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-10-12
    Survey response — day 35, dose 5
    MedDRA: Brain fog, Confusional state, Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Worsening cold symptoms: congestion, cough, runny nose, fatigue, sore throat, brain fog, confusion, etc.
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-10-19
    Survey response — day 42, dose 5
    MedDRA: Brain fog, Fatigue, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Increase symptoms of runny nose, congestion, sore throat, fatigue, brain fog
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-12-06
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in
  59. 2023-03-07
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna
32021-09-22Moderna No
42022-03-30Moderna No
52022-09-06Moderna No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): I have fibromyalgia. I think it triggered a flare up

2021-03-14

Systemic reaction (other): I have fibromyalgia

2021-03-15

Systemic reaction (other): I have fibromyalgia

2021-03-16

Systemic reaction (other): I have fibromyalgia

2021-03-17

Systemic reaction (other): I have fibromyalgia

2021-03-18

Systemic reaction (other): I have fibromyalgia

Release 6 — day 7, dose 2

2021-03-19

Systemic reaction (other): I have fibromyalgia

Release 9 — days 1–6 daily, dose 3

2021-09-23

Systemic reaction (other): I have fibromyalgia. The side effects trigger a bad flare up.

2021-09-24

Systemic reaction (other): I have fibromyalgia. My fever and BP are normal but the body pain & fatigue are awful

2021-09-25

Systemic reaction (other): I have fibromyalgia. The booster shot has triggered a difficult flare up.

2021-09-26

Systemic reaction (other): I have fibromyalgia. The shot has caused a tough flare up. My balance is still unstable. My legs feel weak.

2021-09-27

Systemic reaction (other): I have fibromyalgia. The shot triggered a bad flare up. I also feel dizzy and have weak legs.

Release 9 — day 7, dose 3

2021-09-29

Systemic reaction (other): My symptoms triggered fibromyalgia flare up.

Release 10 — day 35, dose 3

2021-10-28

Symptoms: Increasingly more brain fog and fatigue.

Release 10 — 3 months, dose 3

2021-12-24

Symptoms: Increased brain fog, fatigue, & muscle twitching.

Release 11 — day 28, dose 4

2022-04-27

Symptoms: Increased brain fog, fatigue, muscle and joint pain. I have fibromyalgia but the flare ups have been far more frequent since receiving the vaccine and boosters.

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Urinary Tract Infection

Release 12 — day 14, dose 5

2022-09-21

Symptoms: Brain fog, pain, diarrhea, swollen glands

Release 12 — day 21, dose 5

2022-09-29

Symptoms: Dizziness, double vision

Release 12 — day 28, dose 5

2022-10-06

Symptoms: Sore throat, muscle & joint pain

Release 12 — day 35, dose 5

2022-10-12

Symptoms: Worsening cold symptoms: congestion, cough, runny nose, fatigue, sore throat, brain fog, confusion, etc.

Release 12 — day 42, dose 5

2022-10-19

Symptoms: Increase symptoms of runny nose, congestion, sore throat, fatigue, brain fog

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 · · ✓
SDBrain fog · · ✓
SDCondition aggravated · · ✓
SDConfusional state · · ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDDiplopia · · ✓
SDDizziness · · ✓
SDFatigue · · ✓
SDLymphadenopathy · · ✓
SDMuscle twitching · · ✓
SDMyalgia · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDUrinary tract infection · · ✓
SROBalance disorder · · ✓
SROCondition aggravated ✓ ✓ ✓
SRODizziness · · ✓
SROFatigue · · ✓
SROFibromyalgia ✓ ✓ ✓
SROMuscular weakness · · ✓
SROPain · · ✓
SROPre-existing disease ✓ ✓ ✓

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

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