23V-30698-57744

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 402 / KY
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Survey response — day 0, dose 1
MedDRA: Chest discomfort, Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tightness in my chest and increased heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose

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

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus pain — Feeling: Good · Headache

Free text: Sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good · Be unable to work

Free text: I've had a much more severe headache over the past 3 days than what I experienced before. This has coincided with my menstrual cycle (started on Sunday, headaches began Monday), so I'm unsure if this may be why.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Moderna
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-20
Survey response — day 21, dose 3
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Nasal congestion and sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — day 28, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Runny nose and sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-28
Survey response — 3 months, dose 3
MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Runny nose, headache, and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-29
Survey response — 12 months, dose 3
MedDRA: Delivery, Gastroenteritis viral, Perinatal depression — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: I gave birth to my son 10 weeks early, was diagnosed with postpartum depression, and have had a minor stomach bug this past Friday through Sunday.

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-11-30
Call 1 — Could Not Reach Participant
2022-12-05
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-11-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-29	Successful 2022-12-05	Completed over the phone

Free text

Release 4 — day 0, dose 1

2021-03-03

Systemic reaction (other): Tightness in my chest and increased heart rate

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Runny nose

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Ear ache

2021-04-05

Systemic reaction (other): Sinus pain

Release 7 — day 14, dose 2

2021-04-14

Symptoms: I've had a much more severe headache over the past 3 days than what I experienced before. This has coincided with my menstrual cycle (started on Sunday, headaches began Monday), so I'm unsure if this may be why.

Release 10 — day 21, dose 3

2021-12-20

Symptoms: Nasal congestion and sore throat

Release 10 — day 28, dose 3

2021-12-27

Symptoms: Runny nose and sneezing

Release 11 — 3 months, dose 3

2022-02-28

Symptoms: Runny nose, headache, and sore throat

Release 12 — 12 months, dose 3

2022-11-29

Symptoms: I gave birth to my son 10 weeks early, was diagnosed with postpartum depression, and have had a minor stomach bug this past Friday through Sunday.

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	Delivery	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Perinatal depression	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus pain	✓	✓	✓

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