38Y-14009-08690

4 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 936 / CA
Registered: 2021-03-23

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Registered dependents

CWP-80867-07557 Child or adolescent in my care · Male · 2022-06-20

WKN-17528-21604 Child or adolescent in my care · Female · 2022-06-20

9FZ-30512-59824 Child or adolescent in my care · Female · 2022-06-20

Timeline

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

2021-03-22
Dose 1 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding, Pregnancy — Feeling: Good · Site: Pain, Redness

Free text: Health conditions: I'm 20 weeks pregnant and a nursing mom to a 9 month old

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 1
MedDRA: Vaccination site erythema, Vaccination site induration, Vaccination site scar — Feeling: Good

Free text: The one week check-in did not save my answers. At the 7th night/8 day I started experiencing worsening reddening at the vaccine site it was hard like a rock and very red, almost itchy. It's subdued after a few days. Currently there's just a dark scar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pregnancy — Feeling: Good · Abdominal pain

Free text: Had cramps at night the last two nights but may be pregnancy related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Gait disturbance, Myalgia, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Day 8 started having diarrhea, and muscle aches in my groin, had severe difficulty walking. Today I have a sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue/ tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Diplopia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Double vision · Healthcare visit (other): Optometrist prism prescription lens

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-21
Call successful
Participant prefers to complete VAERS report online
2022-01-05
Dose 3 — Moderna
2022-04-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2023-02-09
Dose 4 — Moderna
2023-05-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-20	Moderna
3	2022-01-05	Moderna	No
4	2023-02-09	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Health conditions: I'm 20 weeks pregnant and a nursing mom to a 9 month old

Release 7 — day 21, dose 1

2021-04-17

Symptoms: The one week check-in did not save my answers. At the 7th night/8 day I started experiencing worsening reddening at the vaccine site it was hard like a rock and very red, almost itchy. It's subdued after a few days. Currently there's just a dark scar cut off by CDC

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Had cramps at night the last two nights but may be pregnancy related

Release 8 — day 14, dose 2

2021-05-04

Symptoms: Day 8 started having diarrhea, and muscle aches in my groin, had severe difficulty walking. Today I have a sore throat.

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Fatigue/ tiredness

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Double vision

Healthcare visit (other): Optometrist prism prescription lens

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	Diarrhoea	✓	✓	✓
SD	Diplopia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Vaccination site erythema	✓	✓	✓
SD	Vaccination site induration	✓	✓	✓
SD	Vaccination site scar	✓	✓	✓
SRO	Breast feeding	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pregnancy	✓	✓	✓

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