Z5N-19251-33148

4 vaccinations 15 coded responses 29 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 935 / CA
Registered: 2021-05-05

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

2021-03-30
Dose 1 — Moderna
2021-04-27
Dose 2 — Moderna
2021-05-05
Registered in v-safe
2021-05-05
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain

Free text: Multiple Sclerosis, SLE, MeCFS, and more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Hepatic enzyme increased, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: High liver enzymes. Probably due to prior diagnosesthat I was denied SSDI forthat has caused severe disability and inability to work. · Healthcare visit (other): In office visit.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2021-11-18
Dose 3 — Moderna
2021-11-18
Health check-in — day 0, dose 3
Feeling: Fair · Joint pains

Adult check-in
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: I also have MS, Lupus, and more it's possible it's the cause of my symptoms. My arm pain is a definite reaction to the injection though.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Musculoskeletal disorder, Pain in extremity, 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: I have MS, SLE, EDS, MeCFS & more it's possible I'm having regular symptoms. The worst part about my reaction to the vaccinein my opinionis the arm pain. It's severe to moderate now, but slowly getting better. I can barely lift my arm.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis, 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: Body sweats, to the point of drenching my bedclothes. I have several chronic illnesses thoughit's possible it can be connected to this?

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Still have body sweats at night. Could be because of my MS.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis, 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: Sweating through my bedclothes. Again, I have several chronic illnesses that can mimic these symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Frequent bowel movements, Gastrointestinal pain — Feeling: Fair · Site: Pain · Abdominal pain

Free text: Increased bowel movements, with cramping

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-02
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-11
Survey response — day 21, dose 3
MedDRA: Hyperhidrosis, Pre-existing disease, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vomiting, sweating through my clothes. Most likely due to my chronic illnesses.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-23
Survey response — day 35, dose 3
MedDRA: Nausea, Vomiting — Feeling: Fair

Free text: Nausea/vomiting

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-19
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-14
Dose 4 — Moderna
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Thirst — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Increased thirst

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: MS, SLE, EDS, MeCFS and more

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-21
Survey response — day 7, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Multiple Sclerosis, Lupus, MeCFS, EDS and more

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-07
Survey response — day 21, dose 4
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash on handspossibly from my SLE

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-16
Survey response — 3 months, dose 4
MedDRA: Contusion, Fall, Peripheral swelling, Tenderness, Wheelchair user — Feeling: Fair

Free text: After falling out of my wheelchair, I got a bruise on my left ankle. That was over two months ago, and I still see bruising/tenderness, and my feet have been swolleneven after long periods of rest.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2021-11-18	Moderna	No
4	2022-04-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-28	Unsuccessful

Free text

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Multiple Sclerosis, SLE, MeCFS, and more

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: High liver enzymes. Probably due to prior diagnosesthat I was denied SSDI forthat has caused severe disability and inability to work.

Healthcare visit (other): In office visit.

Release 10 — days 1–6 daily, dose 3

2021-11-19

Systemic reaction (other): I also have MS, Lupus, and more it's possible it's the cause of my symptoms. My arm pain is a definite reaction to the injection though.

2021-11-20

Systemic reaction (other): I have MS, SLE, EDS, MeCFS & more it's possible I'm having regular symptoms. The worst part about my reaction to the vaccinein my opinionis the arm pain. It's severe to moderate now, but slowly getting better. I can barely lift my arm.

2021-11-21

Systemic reaction (other): Body sweats, to the point of drenching my bedclothes. I have several chronic illnesses thoughit's possible it can be connected to this?

2021-11-22

Systemic reaction (other): Still have body sweats at night. Could be because of my MS.

2021-11-23

Systemic reaction (other): Sweating through my bedclothes. Again, I have several chronic illnesses that can mimic these symptoms.

2021-11-24

Systemic reaction (other): Increased bowel movements, with cramping

Release 10 — day 21, dose 3

2021-12-11

Symptoms: Vomiting, sweating through my clothes. Most likely due to my chronic illnesses.

Release 10 — day 35, dose 3

2021-12-23

Symptoms: Nausea/vomiting

Release 11 — days 1–6 daily, dose 4

2022-04-16

Systemic reaction (other): Increased thirst

2022-04-17

Systemic reaction (other): MS, SLE, EDS, MeCFS and more

Release 11 — day 7, dose 4

2022-04-21

Systemic reaction (other): Multiple Sclerosis, Lupus, MeCFS, EDS and more

Release 11 — day 21, dose 4

2022-05-07

Symptoms: Rash on handspossibly from my SLE

Release 12 — 3 months, dose 4

2022-07-16

Symptoms: After falling out of my wheelchair, I got a bruise on my left ankle. That was over two months ago, and I still see bruising/tenderness, and my feet have been swolleneven after long periods of rest.

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	Contusion	·	·	✓
SD	Fall	·	·	✓
SD	Hepatic enzyme increased	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Nausea	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Tenderness	·	·	✓
SD	Vomiting	·	·	✓
SD	Wheelchair user	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Frequent bowel movements	·	·	✓
SRO	Gastrointestinal pain	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Musculoskeletal disorder	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Thirst	·	·	✓

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