2EA-75105-89316

3 vaccinations 7 coded responses 33 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 840 / UT
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Mood swings — Feeling: Fair · Fatigue or tiredness

Free text: Mood swings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 28, dose 2
MedDRA: Office visit, Pre-existing disease, Sciatica — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe Sciatica · Healthcare visit (other): Regular doc visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Illness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe morning sickness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Moderna
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough and congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough & congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 7, dose 3
Feeling: Poor · Headache, Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Call 1 — Left Voicemail
2022-05-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-15
Survey response — 12 months, dose 3
MedDRA: Hormone level abnormal, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chronic fatigue, hormonal issues

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-16
Call 2 — Left Voicemail
2022-11-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-14	Moderna
3	2021-11-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-12	Unsuccessful
2022-11-15	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Mood swings

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Severe Sciatica

Healthcare visit (other): Regular doc visit

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Severe morning sickness

Release 10 — days 1–6 daily, dose 3

2021-11-18

Systemic reaction (other): Cough and congestion

2021-11-19

Systemic reaction (other): Cough, congestion

2021-11-21

Systemic reaction (other): Cough & congestion

Release 12 — 12 months, dose 3

2022-11-15

Symptoms: Chronic fatigue, hormonal issues

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	Hormone level abnormal	·	·	✓
SD	Illness	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sciatica	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Mood swings	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓

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