2XU-21210-07898

4 vaccinations 10 coded responses 39 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 946 / CA
Registered: 2021-03-01

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Moderna
2021-03-01
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Nausea

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

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

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

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: A headache and a little nausea today and yesterday. But that might be due to my menstrual cycle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Dose 2 — Moderna
2021-03-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Menstrual disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: My period started again (lightly) after ending two days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 21, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: My period is a few days late, which is unusual. An at-home pregnancy test was negative b

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 28, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: I dont know if this is related but my period was 5 days late which it hasnt been in years. Its usually right on time. But Im also trying to get pregnant.

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
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-29
Dose 3 — Moderna
2022-03-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-24
Dose 4 — Pfizer-BioNTech
2022-09-25
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Sore throay

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — days 1–6 daily, dose 4
MedDRA: Sinus congestion — Feeling: Fair

Free text: Congestion (sinus)

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Survey response — days 1–6 daily, dose 4
MedDRA: Sinus congestion — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Survey response — days 1–6 daily, dose 4
MedDRA: Sinus congestion — Feeling: Fair · Headache · Be unable to work or attend school

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-10-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-22
Survey response — day 28, dose 4
MedDRA: Sleep disorder — Feeling: Poor

Free text: Sleep disturbances. I wake up every 1-2 hours at night.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — day 35, dose 4
MedDRA: Anxiety, Insomnia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Insomnia and anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-31
Call successful
Does not wish to fill out VAERS report
2022-11-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna
3	2021-12-29	Moderna	No
4	2022-09-24	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-03-22

Symptoms: A headache and a little nausea today and yesterday. But that might be due to my menstrual cycle.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): My period started again (lightly) after ending two days ago

Release 7 — day 21, dose 2

2021-04-20

Symptoms: My period is a few days late, which is unusual. An at-home pregnancy test was negative b

Release 8 — day 28, dose 2

2021-04-26

Symptoms: I dont know if this is related but my period was 5 days late which it hasnt been in years. Its usually right on time. But Im also trying to get pregnant.

Release 12 — days 1–6 daily, dose 4

2022-09-25

Systemic reaction (other): Sore throay

2022-09-26

Systemic reaction (other): Congestion (sinus)

2022-09-27

Systemic reaction (other): Sinus congestion

2022-09-28

Systemic reaction (other): Sinus congestion

Release 12 — day 28, dose 4

2022-10-22

Symptoms: Sleep disturbances. I wake up every 1-2 hours at night.

Release 12 — day 35, dose 4

2022-10-29

Symptoms: Insomnia and anxiety

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	Insomnia	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Sinus congestion	·	·	✓

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