2UB-26168-09033

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 130 / NY
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Rapid heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Abdominal pain

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Survey response — day 21, dose 1
MedDRA: Anxiety, Diarrhoea, Panic attack, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diarrhea - occurred once with no apparent cause. My anxiety has also been much higher this past week including a panic attack.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — day 14, dose 2
MedDRA: Discomfort, Flank pain, Micturition urgency, Pelvic discomfort, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI like symptoms (pelvic pressure, flank pain, urgency)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have become pregnant and experienced symptoms associated with that (nausea, pelvic and abdominal aches, congestion, fatigue).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Pregnancy registry survey
Pregnant after vaccination · Yes, I would like someone to contact me
2021-05-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle contracture — Feeling: Fair

Free text: Contractions

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Survey response — day 14, dose 3
MedDRA: Arthralgia, Bone pain — Feeling: Good

Free text: Bone/joint aches on the same side of my body as I had received the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 21, dose 3
MedDRA: Arthralgia, Bone pain — Feeling: Fair

Free text: Sore joints/bones on same side of body as booster shot

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 35, dose 3
MedDRA: Delivery, Premature rupture of membranes — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Premature rupture of membranes, labor/delivery of child

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 35, 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 · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-12-06
Call 1 — Left Voicemail
2021-12-10
Survey response — day 42, dose 3
MedDRA: Anxiety, Hypertension, Phlebitis, Postpartum state, Pre-existing disease, Pregnancy — Feeling: Fair · 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: High blood pressure (almost certainly pregnancy/postpartum related), inflamed feeling vein in left wrist, exacerbation of anxiety disorder

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-10-29	Moderna	No

Call center

5 call center cases

3 successful · 2 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-11

Systemic reaction (other): Rapid heart rate

Release 3 — day 21, dose 1

2021-02-01

Symptoms: Diarrhea - occurred once with no apparent cause. My anxiety has also been much higher this past week including a panic attack.

Release 4 — day 14, dose 2

2021-02-22

Symptoms: UTI like symptoms (pelvic pressure, flank pain, urgency)

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: I have become pregnant and experienced symptoms associated with that (nausea, pelvic and abdominal aches, congestion, fatigue).

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Contractions

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Bone/joint aches on the same side of my body as I had received the vaccine

Release 10 — day 21, dose 3

2021-11-19

Symptoms: Sore joints/bones on same side of body as booster shot

Release 10 — day 35, dose 3

2021-12-03

Symptoms: Premature rupture of membranes, labor/delivery of child

Release 10 — day 42, dose 3

2021-12-10

Symptoms: High blood pressure (almost certainly pregnancy/postpartum related), inflamed feeling vein in left wrist, exacerbation of anxiety disorder

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	Anxiety	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Bone pain	·	·	✓
SD	Delivery	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Discomfort	✓	·	✓
SD	Flank pain	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Micturition urgency	✓	·	✓
SD	Panic attack	✓	✓	✓
SD	Pelvic discomfort	○	✓	○
SD	Phlebitis	·	·	✓
SD	Postpartum state	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	✓	✓	✓
SD	Premature rupture of membranes	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Muscle contracture	·	·	✓

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