2SD-25145-31487

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 857 / AZ
Registered: 2021-03-31

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state, Hypoaesthesia, Toothache — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Head numbness, confused , teeth pain in upper back molars

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Melanocytic naevus, Musculoskeletal stiffness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Back molars hurt and stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Abdominal pain lower, Abdominal pain upper, Back pain, Hyperaesthesia teeth, Myalgia, Pain, Pain in extremity, Pain of skin, Photophobia, Skin erosion — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, 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: Teeth sensitivity upper and lower front teeth, also extreme pain 8n lower back down to lower limbs in legs and pain in feet. Also, severe sharp pulsing pain in left abdominal area (located under rib, stomach area.) Muscles running along spine are sensitive. Light sensitivity. Sk8n feels raw to the touch in lower limbs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding, Lactation insufficiency — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Breastfeeding and milk supply is low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lactation insufficiency, Maternal exposure during breast feeding — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Low milk supply (breast feeding)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lactation insufficiency, Maternal exposure before pregnancy — Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Breastfeeding low milk supply

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Blood lactic acid decreased, Lactation insufficiency — Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Low breast milk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Diarrhoea, Headache, Nausea, Pyrexia, Renal pain, Vomiting — Feeling: Poor · Be unable to work

Free text: Vomiting, diarrhea, fever, headache, kidney pain, abdominal pain, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-11
Call successful
Participant prefers to complete VAERS report online
2022-04-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Head numbness, confused , teeth pain in upper back molars

2021-04-03

Systemic reaction (other): Back molars hurt and stiff neck

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Teeth sensitivity upper and lower front teeth, also extreme pain 8n lower back down to lower limbs in legs and pain in feet. Also, severe sharp pulsing pain in left abdominal area (located under rib, stomach area.) Muscles running along spine are sensitive. Light sensitivity. Sk8n feels raw to the touch in lower limbs

2021-05-01

Systemic reaction (other): Breastfeeding and milk supply is low

2021-05-02

Systemic reaction (other): Low milk supply (breast feeding)

2021-05-03

Systemic reaction (other): Breastfeeding low milk supply

2021-05-04

Systemic reaction (other): Low breast milk

Release 8 — day 35, dose 2

2021-06-02

Symptoms: Vomiting, diarrhea, fever, headache, kidney pain, abdominal pain, nausea

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	Abdominal pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Renal pain	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Abdominal pain	✓	✓	○
SRO	Abdominal pain lower	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Blood lactic acid decreased	○	✓	○
SRO	Breast feeding	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Hyperaesthesia teeth	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lactation insufficiency	✓	✓	✓
SRO	Maternal exposure before pregnancy	○	✓	○
SRO	Maternal exposure during breast feeding	✓	✓	✓
SRO	Melanocytic naevus	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain of skin	·	·	✓
SRO	Photophobia	✓	✓	✓
SRO	Skin erosion	✓	✓	✓
SRO	Toothache	✓	✓	✓

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