6JE-19117-84236

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 703 / LA
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: MS

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 · Headache

Free text: Just MS problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Headache · Be unable to work

Free text: Its MS symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache · Be unable to work

Free text: A lot of the symptoms I had before the vaccine from MS I had headaches before vaccine from MS Im fine with injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus headache — Feeling: Fair · Headache

Free text: Sinus headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Depression — Feeling: Poor · Headache

Free text: Just depressed over medical health conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Headache

Free text: I had MS injections today causing migraine thats all

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

Adult check-in
2021-03-11
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Multiple sclerosis relapse, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My neurologist said its MS related Im having a flare up due to vaccine reactions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Multiple sclerosis, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have MS and has been in a flare up since I got the vaccine its not the vaccine that caused it it was some of the reactions that did .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 2
MedDRA: Multiple sclerosis relapse, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: MS flare up continuously

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-04-21
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraines from occipital neuralgia and my neck probably my MS flaring up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): MS

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Just MS problems

2021-02-20

Systemic reaction (other): Its MS symptoms

2021-02-21

Systemic reaction (other): A lot of the symptoms I had before the vaccine from MS I had headaches before vaccine from MS Im fine with injection

2021-02-22

Systemic reaction (other): Sinus headache

2021-02-23

Systemic reaction (other): Just depressed over medical health conditions

Release 4 — day 7, dose 1

2021-02-24

Systemic reaction (other): I had MS injections today causing migraine thats all

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Severe headache

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): My neurologist said its MS related Im having a flare up due to vaccine reactions

2021-03-22

Systemic reaction (other): Vision

2021-03-23

Systemic reaction (other): I have MS and has been in a flare up since I got the vaccine its not the vaccine that caused it it was some of the reactions that did .

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): MS flare up continuously

Release 7 — day 35, dose 2

2021-04-21

Symptoms: Migraines from occipital neuralgia and my neck probably my MS flaring up

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	Condition aggravated	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Multiple sclerosis	✓	✓	✓
SRO	Multiple sclerosis relapse	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus headache	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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