272-10257-34774

3 vaccinations 9 coded responses 38 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 672 / KS
Registered: 2021-08-07

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

Registered dependents

E5H-29947-86736 Child or adolescent in my care · Male · 2022-01-04

U4W-40129-43801 Child or adolescent in my care · Male · 2022-01-04

Timeline

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

2021-08-05
Dose 1 — Moderna
2021-08-07
Registered in v-safe
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-08-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-08-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-10
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-08-12
Survey response — day 7, dose 1
MedDRA: Pregnancy, Respiratory tract congestion — Feeling: Good

Free text: Congestion in morning, normal pregnancy symptoms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-26
Survey response — day 21, dose 1
MedDRA: Caesarean section — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Had a cesarean birth on August 23rd

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — day 21, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2021-09-02
Survey response — day 28, dose 1
MedDRA: Peripheral swelling, Postpartum state — Feeling: Fair · Be unable to work or attend school, 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: Postpartum healing and swelling in left leg. monitoring for blood clots

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — day 28, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-03
Call 1 — Left Voicemail
2021-09-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-07
Dose 2 — Moderna
2021-09-07
Survey response — day 0, dose 2
MedDRA: Caesarean section — Feeling: Fair · Site: Pain · Fever · Headache · Be unable to do your normal daily activities

Free text: Cesarean birth on August 23rd

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-09-09
Survey response — days 1–6 daily, dose 2
MedDRA: Breast disorder, Menstrual disorder — Feeling: Good · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Free text: Change in menstrual bleeding and signs of mastitis

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-03-08
Survey response — 6 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had COVID-19 most likely omicron

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Dose 3 — Moderna
2022-07-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-07-08
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast feeding, Breast pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling

Free text: Arm pain increased and extended under armpit near breast. I am currently breastfeeding

MedDRA releases: 2024-11 · check-in free text available
2022-07-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-08-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-01-06
Survey response — 6 months, dose 3
MedDRA: Fatigue, Influenza like illness — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-05	Moderna	No
2	2021-09-07	Moderna	No
3	2022-07-06	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-26	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-02	Successful 2021-09-03	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-10

Systemic reaction (other): Congestion

Release 9 — day 7, dose 1

2021-08-12

Systemic reaction (other): Congestion in morning, normal pregnancy symptoms

Release 9 — day 21, dose 1

2021-08-26

Symptoms: Had a cesarean birth on August 23rd

Release 9 — day 28, dose 1

2021-09-02

Symptoms: Postpartum healing and swelling in left leg. monitoring for blood clots

Release 9 — day 0, dose 2

2021-09-07

Systemic reaction (other): Cesarean birth on August 23rd

Release 9 — days 1–6 daily, dose 2

2021-09-09

Systemic reaction (other): Change in menstrual bleeding and signs of mastitis

Release 11 — 6 months, dose 2

2022-03-08

Symptoms: Had COVID-19 most likely omicron

Release 12 — days 1–6 daily, dose 3

2022-07-08

Systemic reaction (other): Arm pain increased and extended under armpit near breast. I am currently breastfeeding

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	Caesarean section	✓	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Postpartum state	✓	·	✓
SRO	Axillary pain	·	·	✓
SRO	Breast disorder	·	·	✓
SRO	Breast feeding	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Caesarean section	·	·	✓
SRO	Menstrual disorder	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pregnancy	✓	·	✓
SRO	Respiratory tract congestion	✓	·	✓

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