6JG-23449-66263

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 370 / TN
Registered: 2021-03-04

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

Timeline

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Survey response — day 0, dose 1
MedDRA: Asthma, Hypersensitivity, Multiple sclerosis — Feeling: Good · Fatigue or tiredness

Free text: Have Multiple sclerosis, asthma, and often have alergic reactions, but no problems so happy about that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Disorientation — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feel sort of disoriented

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Multiple sclerosis, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Since I have MS I am not surprised since my body is in a small war.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Feeling abnormal, Multiple sclerosis, Muscle spasms, Nervous system disorder, Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: My MS is flared from vaccine, I did expect that. not routine, leg cramps, weird nerve sensations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 1
MedDRA: Lymph node pain, Muscle spasms, Peripheral swelling, Pre-existing disease, Pyrexia, Skin burning sensation — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have MS. When I took my Beta-1a interferon shot a week after which resets my immune system, fever over 101 that would not go down, skin burning off feeling, spasms in spine, legs very swollen painful neck glands. 36 hrs later started to subside

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-03
Survey response — day 28, dose 1
MedDRA: Multiple sclerosis, Pre-existing disease — Feeling: Fair

Free text: I believe the vaccine has stirred up my MS, I have had a bit of an exacerbation since the first vaccine and I am usually very steady about not having them.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Dose 2 — Moderna
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Agitation, Mood altered, Muscle spasms — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had lots of leg cramps over night. Been rather agitated, mood sorta altered I think from the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Ear infection, Pneumonia, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had a horrible sinus, ear and lung infection for three weeks. Going to dr tomorrow again, two rounds of antibiotics and maybe again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 1 — Left Voicemail
2021-07-13
Call successful
Participant prefers to complete VAERS report online
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-07	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Have Multiple sclerosis, asthma, and often have alergic reactions, but no problems so happy about that.

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Feel sort of disoriented

2021-03-06

Systemic reaction (other): Since I have MS I am not surprised since my body is in a small war.

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): My MS is flared from vaccine, I did expect that. not routine, leg cramps, weird nerve sensations

Release 5 — day 14, dose 1

2021-03-18

Symptoms: I have MS. When I took my Beta-1a interferon shot a week after which resets my immune system, fever over 101 that would not go down, skin burning off feeling, spasms in spine, legs very swollen painful neck glands. 36 hrs later started to subside

Release 6 — day 28, dose 1

2021-04-03

Symptoms: I believe the vaccine has stirred up my MS, I have had a bit of an exacerbation since the first vaccine and I am usually very steady about not having them.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Had lots of leg cramps over night. Been rather agitated, mood sorta altered I think from the shot.

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Fatigue

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Had a horrible sinus, ear and lung infection for three weeks. Going to dr tomorrow again, two rounds of antibiotics and maybe again

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	Ear infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Multiple sclerosis	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SRO	Agitation	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Feeling abnormal	✓	✓	○
SRO	Hypersensitivity	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Multiple sclerosis	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nervous system disorder	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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