32A-33085-59728

3 vaccinations 18 coded responses 30 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 919 / CA
Registered: 2021-02-15

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

Timeline

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

2021-02-12
Dose 1 — Moderna
2021-02-15
Registered in v-safe
2021-02-16
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

Free text: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibro FMS (clearing in cycles due to Reversal Treatment w/Guai & Protocol ....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 7, dose 1
MedDRA: Fibromyalgia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibro FMS... clearing/cycle due to Reversal Treatmnt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 21, dose 1
MedDRA: Balance disorder, Condition aggravated, Dizziness, Fall, Pre-existing disease, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Lightheadedness/Vertigo that cause trip/fall...imbalance about a week ago... w/c I know causing by Fibromyalgia, but w/ reversal treatment and following the protocol, its manageable alright...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
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: Fybromyalgia FMS.... noticing too much bubbles in my urine, w/c is very good sign of eliminating calcium phosphate deposit out of my system since Im doing Fibro Reversal Treatment and following the protocol.....thanks to Guai!, my Life Saver

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
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: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Fibromyalgia FMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Survey response — day 35, dose 2
MedDRA: Hyperacusis, Hypoaesthesia, Muscle spasms, Office visit, Pain, Paraesthesia, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Health Condition, diagnosed as Paresthesia, experiencing tingling or numbness, buzzing, itching, sometimes, sharp sudden pain, nerve cramps of my right thigh... patient education materials stated that Paresthesia may occur w/o any clear cause.... · Healthcare visit (other): Acupuncture Treatment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-13
Survey response — 3 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Fibromyalgia FMS Flare up w/c is normal for reversal treatment w/ added emotional stress, just experienced loss of my beloved MomNot easy @ all I had a couple of fall issues led me to emergency treatment for anxiety, etc. · Healthcare visit (other): Follow-ups for other testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-20
Dose 3 — Moderna
2022-04-27
Survey response — day 7, dose 3
MedDRA: Pre-existing disease — Feeling: Good

Free text: As usual Fibromyalgia FMS

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-05-11
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-05-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-06-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-20
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Condition aggravated, Dizziness, Ear pain, Irritable bowel syndrome, Myalgia, Pain, Pain in extremity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Fibromyalgia FMS flare ups?. Lightheadedness, debilitating pain in my R Ear, pain, muscles & joints, shooting pain, lower extremities, IBS?

MedDRA releases: 2024-11 · check-in free text available
2023-04-20
Survey response — 12 months, dose 3
MedDRA: Fall — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-20
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-04-21
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2022-04-20	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): Fibromyalgia FMS

2021-02-17

Systemic reaction (other): Fibromyalgia FMS

2021-02-18

Systemic reaction (other): Fibro FMS (clearing in cycles due to Reversal Treatment w/Guai & Protocol ....

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): Fibro FMS... clearing/cycle due to Reversal Treatmnt

Release 5 — day 21, dose 1

2021-03-05

Symptoms: Lightheadedness/Vertigo that cause trip/fall...imbalance about a week ago... w/c I know causing by Fibromyalgia, but w/ reversal treatment and following the protocol, its manageable alright...

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Fibromyalgia FMS

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Fibromyalgia FMS

2021-03-14

Systemic reaction (other): Fybromyalgia FMS.... noticing too much bubbles in my urine, w/c is very good sign of eliminating calcium phosphate deposit out of my system since Im doing Fibro Reversal Treatment and following the protocol.....thanks to Guai!, my Life Saver

2021-03-15

Systemic reaction (other): Fibromyalgia FMS

2021-03-16

Systemic reaction (other): Fibromyalgia FMS

2021-03-17

Systemic reaction (other): Fibromyalgia FMS

2021-03-18

Systemic reaction (other): Fibromyalgia FMS

Release 5 — day 7, dose 2

2021-03-19

Systemic reaction (other): Fibromyalgia FMS

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Health Condition, diagnosed as Paresthesia, experiencing tingling or numbness, buzzing, itching, sometimes, sharp sudden pain, nerve cramps of my right thigh... patient education materials stated that Paresthesia may occur w/o any clear cause....

Healthcare visit (other): Acupuncture Treatment

Release 9 — 3 months, dose 2

2021-06-13

Symptoms: Fibromyalgia FMS Flare up w/c is normal for reversal treatment w/ added emotional stress, just experienced loss of my beloved MomNot easy @ all I had a couple of fall issues led me to emergency treatment for anxiety, etc.

Healthcare visit (other): Follow-ups for other testing

Release 11 — day 7, dose 3

2022-04-27

Systemic reaction (other): As usual Fibromyalgia FMS

Release 12 — 3 months, dose 3

2022-07-20

Symptoms: Fibromyalgia FMS flare ups?. Lightheadedness, debilitating pain in my R Ear, pain, muscles & joints, shooting pain, lower extremities, IBS?

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
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fall	✓	✓	✓
SD	Hyperacusis	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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