2UA-31526-78782

3 vaccinations 12 coded responses 36 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 700 / LA
Registered: 2021-03-03

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

Registered dependents

QWB-10698-76211 Child or adolescent in my care · Male · 2021-11-14

Timeline

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

2021-03-01
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Abdominal pain

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-29
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Heat at injection spot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Oropharyngeal pain — Feeling: Fair · Site: Pain

Free text: Sore throat and tender glands on neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat and swollen glands in throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen glands in throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 2
MedDRA: Dysmenorrhoea, Intermenstrual bleeding — Feeling: Good

Free text: Early spotting and cramping for period. Same thing after first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Nasopharyngitis, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Allergies, stuffy head, mild head cold, stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Intermenstrual bleeding, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities

Free text: My period was abnormal after both shots. Had spotting within 24 hours. Had abdominal cramping too.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Dose 3 — Moderna
2021-12-21
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Productive cough — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Free text: Cough and phlegm

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Productive cough, Wheezing — Feeling: Fair · Fatigue or tiredness

Free text: Cough, chest rattle and phlegm

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Productive cough — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Coughing and phlegm

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Productive cough — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Coughing and phlegm

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-28
Survey response — day 7, dose 3
MedDRA: Cough — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Call successful
Does not wish to fill out VAERS report
2022-01-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna
3	2021-12-21	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-29

Systemic reaction (other): Heat at injection spot

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Sore throat and tender glands on neck

2021-04-03

Systemic reaction (other): Sore throat and swollen glands in throat

2021-04-04

Systemic reaction (other): Swollen glands in throat

Release 6 — day 7, dose 2

2021-04-05

Systemic reaction (other): Early spotting and cramping for period. Same thing after first shot.

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Allergies, stuffy head, mild head cold, stomach pain

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: My period was abnormal after both shots. Had spotting within 24 hours. Had abdominal cramping too.

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): Cough and phlegm

2021-12-25

Systemic reaction (other): Cough, chest rattle and phlegm

2021-12-26

Systemic reaction (other): Coughing and phlegm

2021-12-27

Systemic reaction (other): Coughing and phlegm

Release 10 — day 7, dose 3

2021-12-28

Systemic reaction (other): Coughing

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	Abdominal pain upper	✓	✓	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Productive cough	·	·	✓
SRO	Wheezing	·	·	✓

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