3FD-29498-94890

4 vaccinations 7 coded responses 41 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 152 / PA
Registered: 2021-02-09

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

Registered dependents

B8U-12476-44436 Child or adolescent in my care · Female · 2022-09-19

GHD-28445-87136 Child or adolescent in my care · Male · 2022-09-19

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Abortion spontaneous — Feeling: Good · Muscle or body aches, Nausea

Free text: I believe I had a miscarriage today unrelated to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: I am now pregnant (unrelated health condition)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 21, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My son gave me a cold from his daycare

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 28, dose 3
MedDRA: Cough, Exposure to communicable disease, Malaise, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got sick from my sons daycare with a sore throat and cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-15
Dose 4 — Moderna
Co-administered: Flu
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Upper-airway cough syndrome — Feeling: Good · Fatigue or tiredness

Free text: Mild post nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-20
Survey response — day 35, dose 4
MedDRA: Headache, Nasal congestion — Feeling: Fair

Free text: Stuffy nose, headache

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-15
Survey response — 3 months, dose 4
MedDRA: Cough, Nasopharyngitis — Feeling: Good

Free text: Cough and cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2023-03-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-12	Moderna
3	2021-11-02	Moderna	No
4	2022-09-15	Moderna	Flu

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): I believe I had a miscarriage today unrelated to the vaccine.

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: I am now pregnant (unrelated health condition)

Release 10 — day 21, dose 3

2021-11-23

Symptoms: My son gave me a cold from his daycare

Release 10 — day 28, dose 3

2021-11-30

Symptoms: I got sick from my sons daycare with a sore throat and cough

Release 12 — days 1–6 daily, dose 4

2022-09-19

Systemic reaction (other): Mild post nasal drip

Release 12 — day 35, dose 4

2022-10-20

Symptoms: Stuffy nose, headache

Release 12 — 3 months, dose 4

2022-12-15

Symptoms: Cough and cold symptoms

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	Cough	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	✓	✓	✓
SRO	Abortion spontaneous	✓	✓	✓
SRO	Upper-airway cough syndrome	·	·	✓

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