Z5Z-99076-93324
5 vaccinations
16 coded responses
65 check-ins
16 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 940 / CA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Thirst — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Thirsty no matter how much I drinkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Neck pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: On 3/13 (day after vaccine) I had neck pain and headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication, Thirst — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Thirsty, temp might be higher if not for tylenolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
-
2021-05-01
Survey response — day 21, dose 2MedDRA: Arthralgia, Paraesthesia, Pre-existing disease, Pyrexia, Sensitive skin — Feeling: FairFree text: Tingly, sensitive finger tips and joint pain. I think the fever from 2nd vaccine triggered a fibromyalgia flare up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-08
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased — Feeling: Good · Site: Pain, Swelling · Fever · Joint pains · Be unable to do your normal daily activitiesFree text: The 99 fever was yesterday after i had done vsafe and was after trying to exercise.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness, Paraesthesia — Feeling: Good · Site: Pain · Joint painsFree text: Stiff fingers, tingling toe. Vaccine may have triggered a fibromyalgia flare up againMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesFree text: Fibromyalgia flare up continues sunce vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
-
2021-11-12
Survey response — day 14, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: GoodFree text: Cough/ sore throat for 2 daysMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — day 21, dose 3MedDRA: Muscle spasms, Myalgia — Feeling: FairFree text: Pain in right calf muscle for 2 days, felt like was going to give out when walking. Charlie horse in left calf one night.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
-
2021-12-03
Survey response — day 35, dose 3MedDRA: Asthenia, Secretion discharge, Throat irritation — Feeling: Poor · Be unable to work or attend schoolFree text: Scratchy throat, mucus draining, low energyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2022-01-30
-
2022-05-17
Dose 4 — Pfizer-BioNTech
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-20
-
2022-05-21
Survey response — days 1–6 daily, dose 4MedDRA: Condition aggravated, Musculoskeletal stiffness, Paraesthesia, Pre-existing disease — Feeling: Fair · Joint painsFree text: Fibromyalgia flare up like last booster. Tingly, stiff fingers and leg muscles.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Throat irritation — Feeling: Fair · Fatigue or tirednessFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-05-24
- 2022-06-01
-
2022-06-07
Survey response — day 21, dose 4MedDRA: Condition aggravated, Hypoaesthesia, Paraesthesia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fibromyalgia tingling, numbness in fingers worse its been in over a year. Flare up started after booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-14
Survey response — day 28, dose 4MedDRA: Condition aggravated, Hypoaesthesia, Paraesthesia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tingling, nynbness and stiffening in hands and feet (Fibromyalgia flare up) worse.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
-
2022-06-28
Survey response — day 42, dose 4MedDRA: Arthralgia, Condition aggravated, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to work or attend schoolFree text: I had my 2nd Shingles vaccine yesterday and have body aches low grade fever and sore arm. I also continue to have pain, tingling, numbness in my hands, feet and joints (Fibromyalgia flare up) that started after my most recent COVID booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-16
-
2022-09-15
Dose 5 — Moderna
- 2022-09-15
-
2022-09-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Joint pains, Abdominal painAdult check-in
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-30
- 2022-10-06
-
2022-10-14
Survey response — day 28, dose 5MedDRA: Diarrhoea, Throat irritation — Feeling: FairFree text: Scratchy throat. Diarrhea.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-17 | Pfizer-BioNTech | No |
| 5 | 2022-09-15 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Thirsty no matter how much I drink
Systemic reaction (other): On 3/13 (day after vaccine) I had neck pain and headache.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Thirsty, temp might be higher if not for tylenol
Release 8 — day 21, dose 2
Symptoms: Tingly, sensitive finger tips and joint pain. I think the fever from 2nd vaccine triggered a fibromyalgia flare up.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The 99 fever was yesterday after i had done vsafe and was after trying to exercise.
Systemic reaction (other): Stiff fingers, tingling toe. Vaccine may have triggered a fibromyalgia flare up again
Systemic reaction (other): Fibromyalgia flare up continues sunce vaccine
Release 10 — day 14, dose 3
Symptoms: Cough/ sore throat for 2 days
Release 10 — day 21, dose 3
Symptoms: Pain in right calf muscle for 2 days, felt like was going to give out when walking. Charlie horse in left calf one night.
Release 10 — day 35, dose 3
Symptoms: Scratchy throat, mucus draining, low energy
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Fibromyalgia flare up like last booster. Tingly, stiff fingers and leg muscles.
Systemic reaction (other): Scratchy throat
Release 11 — day 21, dose 4
Symptoms: Fibromyalgia tingling, numbness in fingers worse its been in over a year. Flare up started after booster.
Release 12 — day 28, dose 4
Symptoms: Tingling, nynbness and stiffening in hands and feet (Fibromyalgia flare up) worse.
Release 12 — day 42, dose 4
Symptoms: I had my 2nd Shingles vaccine yesterday and have body aches low grade fever and sore arm. I also continue to have pain, tingling, numbness in my hands, feet and joints (Fibromyalgia flare up) that started after my most recent COVID booster.
Release 12 — day 28, dose 5
Symptoms: Scratchy throat. Diarrhea.
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 | Asthenia | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sensitive skin | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release