YZL-18960-87802

4 vaccinations 18 coded responses 29 check-ins 17 free-text entries 0 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 980 / WA
Registered: 2021-03-14

Relationship: Self
Race: White
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

2021-03-13
Dose 1 — Moderna
2021-03-14
Registered in v-safe
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: All fairly normal for me and predate injection (I have Lupus)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Site: Pain · 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, Be unable to do your normal daily activities

Free text: All fairly normal for me and predate injection (I have Lupus)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
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, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: All normal for me and predate injection (I have Lupus)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · 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, Be unable to do your normal daily activities

Free text: All fairly normal for me & probably not shot related(I have Lupus)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · 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, Be unable to do your normal daily activities

Free text: All normal for me, not likely shot related (I have Lupus)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: All fairly normal with my Lupus and Fibromyalgia, so most of this is probably not shot related. Granted I have been having a flare lately of fatigue and joint and pain, possibly it's been a bit worse or extended due to the immunization, but it did start before the immunization.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 1
MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Poor · 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, Be unable to do your normal daily activities

Free text: Better than the last couple days :) stil all normal for my lupus, fibro, IBS(BOS), & etc. I deal with these various pain & fatigue flares all the time. This may have been triggered by the shot, or totally unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 21, dose 1
Feeling: Poor

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-10
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: All mild and normal for me with my Lupus and other conditions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Most of this is pretty normal for me - I have Lupus, Fibromyalgia, IBS, etc. For the trip out and walk through the vaccination place to trigger fatigue and aches is also typical for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — 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

Free text: All fairly normal for me with my Lupus, Fibromyalgia, IBS, etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — 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

Free text: All fairly normal for me with Lupus, Fibromyalgia, IBS, etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Acne, Pre-existing disease — Feeling: Good · Site: Pain · 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

Free text: A few zits on my face since first and second vaccine. Very weird for me. Thought nothing of the first one but now there are 3, I'm wondering if vaccine triggered them, since I otherwise rarely get one and virtually never more than one at a time in many years. Otherwise symptoms all fairly normal with my Lupus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia, Irritable bowel syndrome, Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · 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

Free text: All fairly normal with my Lupus, Fibromyalgia, IBS, etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — 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

Free text: All fairly normal with my Lupus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Back pain, Muscle spasms — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Back pain in kidney area, both sides, feels like very severe muscle cramping, worse w/standing. Note I'm already disabled w/lupus&FMS & back pain in itself nothing new, but this exact location is different & hasn't been this bad in a long time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-11-08
Dose 3 — Moderna
2022-04-10
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-04
Dose 4 — Moderna
2022-05-29
Survey response — day 21, dose 4
MedDRA: Cough, Dyspnoea, Eye irritation, Headache, Malaise, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Viral infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever 101-102F, pulse ox 83-96 but usually 92-94, sore throat, headache, eyes burn, body aches, congestion both nasal and chest, cough, air feels thick, hard to breathe, I reek of sick (so I can still smell). Worst virus ever. Worse at night.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-06-08
Survey response — day 35, dose 4
MedDRA: Anosmia, Dizziness, Migraine, Nausea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lost sense of smell for several days. started before last check-in. I think it's starting to come back now. Yesterday I tested negative for covid on antigen test #3 (day 11). Today I have extreme dizziness, nausea, and other pre-migraine symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-05-04
Survey response — 12 months, dose 4
MedDRA: Diarrhoea, Eructation, Flatulence, Gastrointestinal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna
3	2021-11-08	Moderna	No
4	2022-05-04	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): All fairly normal for me and predate injection (I have Lupus)

2021-03-15

Systemic reaction (other): All fairly normal for me and predate injection (I have Lupus)

2021-03-16

Systemic reaction (other): All normal for me and predate injection (I have Lupus)

2021-03-17

Systemic reaction (other): All fairly normal for me & probably not shot related(I have Lupus)

2021-03-18

Systemic reaction (other): All normal for me, not likely shot related (I have Lupus)

2021-03-19

Systemic reaction (other): All fairly normal with my Lupus and Fibromyalgia, so most of this is probably not shot related. Granted I have been having a flare lately of fatigue and joint and pain, possibly it's been a bit worse or extended due to the immunization, but it did start before the immunization.

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): Better than the last couple days :) stil all normal for my lupus, fibro, IBS(BOS), & etc. I deal with these various pain & fatigue flares all the time. This may have been triggered by the shot, or totally unrelated.

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): All mild and normal for me with my Lupus and other conditions.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Most of this is pretty normal for me - I have Lupus, Fibromyalgia, IBS, etc. For the trip out and walk through the vaccination place to trigger fatigue and aches is also typical for me.

2021-04-12

Systemic reaction (other): All fairly normal for me with my Lupus, Fibromyalgia, IBS, etc.

2021-04-13

Systemic reaction (other): All fairly normal for me with Lupus, Fibromyalgia, IBS, etc.

2021-04-14

Systemic reaction (other): A few zits on my face since first and second vaccine. Very weird for me. Thought nothing of the first one but now there are 3, I'm wondering if vaccine triggered them, since I otherwise rarely get one and virtually never more than one at a time in many years. Otherwise symptoms all fairly normal with my Lupus.

2021-04-15

Systemic reaction (other): All fairly normal with my Lupus, Fibromyalgia, IBS, etc.

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): All fairly normal with my Lupus.

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Back pain in kidney area, both sides, feels like very severe muscle cramping, worse w/standing. Note I'm already disabled w/lupus&FMS & back pain in itself nothing new, but this exact location is different & hasn't been this bad in a long time.

Release 11 — day 21, dose 4

2022-05-29

Symptoms: Fever 101-102F, pulse ox 83-96 but usually 92-94, sore throat, headache, eyes burn, body aches, congestion both nasal and chest, cough, air feels thick, hard to breathe, I reek of sick (so I can still smell). Worst virus ever. Worse at night.

Release 11 — day 35, dose 4

2022-06-08

Symptoms: Lost sense of smell for several days. started before last check-in. I think it's starting to come back now. Yesterday I tested negative for covid on antigen test #3 (day 11). Today I have extreme dizziness, nausea, and other pre-migraine 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	Anosmia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Eructation	·	·	✓
SD	Eye irritation	·	·	✓
SD	Flatulence	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓
SRO	Acne	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Irritable bowel syndrome	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Systemic lupus erythematosus	✓	✓	✓

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