35V-79949-49189

5 vaccinations 10 coded responses 30 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 949 / CA
Registered: 2021-04-01

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-31
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Site: Pain, Swelling

Free text: I do have Lupus (SLE).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — day 7, dose 1
MedDRA: Diarrhoea — Feeling: Poor · Diarrhea

Free text: 3rd day with diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 1
MedDRA: Arthralgia, Grip strength decreased, Myalgia, Pre-existing disease, Systemic lupus erythematosus — Feeling: Poor

Free text: Muscle and joint pain with left elbow and right shoulder. Problem holding a grip with my left hand. I believe it is lupus related and not COVID-19 related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 28, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Again I had two days of diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Moderna
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Systemic lupus erythematosus — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Nausea, Diarrhea

Free text: Lupus (SLE) symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

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

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

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-08
Dose 3 — Moderna
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Pain, Pre-existing disease, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea for two weeks. Fevers. Body aches/pains possible due to lupus.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-09
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Brain fog, Myalgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Possibly a light lupus flare. Joint and muscle pain. Also lupus fog.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Dose 4 — Moderna
2022-05-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-05
Survey response — day 35, dose 4
MedDRA: Arthralgia, Gait disturbance, Loss of personal independence in daily activities, Myalgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Possible lupus (SLE) flair. Muscle and joint pain. Difficult to walk, tie shoes without help.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-30
Survey response — 6 months, dose 4
MedDRA: Cough, Influenza, Influenza A virus test positive, Influenza virus test, Office visit, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Flu Type A symptoms appeared on November 8, 2022. Coughing, fevers, congestion in chest. Doctors office visit/test confirmed Flu-A virus. · Healthcare visit (other): And office visit for flu/Covid test.

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-01
Call 2 — Left Voicemail
2022-11-07
Dose 5 — Moderna
Co-administered: Flu
2023-02-06
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-05-08
Survey response — 6 months, dose 5
MedDRA: Nasal congestion, Office visit, Pre-existing disease, Productive cough, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-05-08
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-09
Call 1 — Left Voicemail
2023-05-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-30	Moderna
3	2021-09-08	Moderna	No
4	2022-05-01	Moderna	No
5	2022-11-07	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): I do have Lupus (SLE).

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): 3rd day with diarrhea.

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Muscle and joint pain with left elbow and right shoulder. Problem holding a grip with my left hand. I believe it is lupus related and not COVID-19 related.

Release 8 — day 28, dose 1

2021-04-28

Symptoms: Again I had two days of diarrhea.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Lupus (SLE) symptoms

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Diarrhea for two weeks. Fevers. Body aches/pains possible due to lupus.

Release 11 — 6 months, dose 3

2022-03-09

Symptoms: Possibly a light lupus flare. Joint and muscle pain. Also lupus fog.

Release 11 — day 35, dose 4

2022-06-05

Symptoms: Possible lupus (SLE) flair. Muscle and joint pain. Difficult to walk, tie shoes without help.

Release 12 — 6 months, dose 4

2022-10-30

Symptoms: Flu Type A symptoms appeared on November 8, 2022. Coughing, fevers, congestion in chest. Doctors office visit/test confirmed Flu-A virus.

Healthcare visit (other): And office visit for flu/Covid test.

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	Influenza virus test	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Grip strength decreased	✓	✓	✓
SD	Influenza	·	·	✓
SD	Influenza A virus test positive	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓
SD	Systemic lupus erythematosus	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Systemic lupus erythematosus	✓	✓	✓

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