3KJ-22959-97304

3 vaccinations 10 coded responses 23 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 066 / CT
Registered: 2021-03-11

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-10
Dose 1 — Moderna
2021-03-10
Dose 2 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Abdominal pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: A terrible head pain that lasted a few seconds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, dose 2
MedDRA: Joint swelling, Pain in extremity — Feeling: Fair

Free text: Swelling to right ankle and pain to right lower leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abdominal discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Pain in muscles and joints

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 2 — Left Voicemail
2022-03-10
Survey response — 12 months, dose 2
MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Currently pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-14
Call successful
Not applicable - Accidental Reporting
2022-04-14
Dose 3 — Moderna
2022-04-14
Survey response — day 0, dose 3
MedDRA: Pregnancy — Feeling: Fair · Site: Pain

Free text: Currently pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-30
Survey response — day 14, dose 3
MedDRA: Peripheral swelling — Feeling: Fair

Free text: Swollen feet

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-05-27
Survey response — day 42, dose 3
MedDRA: Peripheral swelling, Pregnancy — Feeling: Fair

Free text: Swelling in feet and legs due to pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Survey response — 3 months, dose 3
MedDRA: Delivery — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Delivered a baby in June

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-07-15
Call 1 — Left Voicemail
2022-07-15
Call 1 — Left Voicemail
2022-07-15
Call 1 — Left Voicemail
2022-07-15
Call 1 — Left Voicemail
2022-10-14
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna
3	2022-04-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-24	Successful	Not applicable - Accidental Reporting
2021-09-08	Successful	Not applicable - Accidental Reporting
2022-03-10	Successful 2022-03-14	Not applicable - Accidental Reporting
2022-07-14	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): No

Release 6 — day 14, dose 2

2021-03-24

Symptoms: A terrible head pain that lasted a few seconds

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Swelling to right ankle and pain to right lower leg

Release 7 — day 42, dose 2

2021-04-24

Symptoms: Abdominal discomfort

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Pain in muscles and joints

Release 11 — 12 months, dose 2

2022-03-10

Symptoms: Currently pregnant

Release 11 — day 0, dose 3

2022-04-14

Systemic reaction (other): Currently pregnant

Release 11 — day 14, dose 3

2022-04-30

Symptoms: Swollen feet

Release 11 — day 42, dose 3

2022-05-27

Symptoms: Swelling in feet and legs due to pregnancy

Release 12 — 3 months, dose 3

2022-07-14

Symptoms: Delivered a baby in June

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 discomfort	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Delivery	·	·	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Pregnancy	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pregnancy	·	·	✓

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