4RU-83402-76775

5 vaccinations 19 coded responses 42 check-ins 17 free-text entries 14 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 837 / ID
Registered: 2021-02-08

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-08
Survey response — day 0, dose 1
MedDRA: Crohn's disease, Dyspnoea, Pre-existing disease, Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Difficulty breathing. Im also pregnant and have Crohns disease.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

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

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Swelling · Headache, Joint pains

Adult check-in
2021-02-23
Survey response — day 14, dose 1
MedDRA: Lower limb fracture, Surgery — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: I broke my leg and had to have surgery. · Healthcare visit (other): surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

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

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-08
Survey response — day 0, dose 2
MedDRA: Pregnancy — Feeling: Fair · Site: Swelling · Fatigue or tiredness, Nausea

Free text: I'm also 36wks pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work

Adult check-in
2021-03-13
Call 1 — Left Voicemail
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Survey response — day 21, dose 2
MedDRA: Migraine, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: migraines, body pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-18
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-07
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Dose 3 — Moderna
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Back pain, Pain in extremity — Feeling: Fair · 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

Free text: Back pain, joint pain in legs, foot pain both feet

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-07
Call 3 — Left Voicemail
2022-03-08
Survey response — 12 months, dose 2
MedDRA: Crohn's disease, Ehlers-Danlos syndrome, Pre-existing disease, Unevaluable event — 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

Free text: Symptoms: Ehlers Danlos Syndrome, crohn's flare · Healthcare visit (other): colonoscopy and upper endoscopy, MRI, steroid injection in spine

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-03-10
Call 1 — Left Voicemail
2022-04-29
Dose 4 — Moderna
2022-05-12
Survey response — day 7, dose 4
MedDRA: Constipation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — day 14, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — day 21, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I have covid

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-27
Survey response — day 28, dose 4
MedDRA: COVID-19 — Feeling: Fair · 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

Free text: Covid positive

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — day 28, dose 4
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 · 1 call case(s)
2022-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-03
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-31
Survey response — 3 months, dose 4
MedDRA: Surgery, Syncope, Uterine polyp, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: uterine polyps, weight loss, fainting · Healthcare visit (other): ultrasound, surgery

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 3 — Left Voicemail
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 3 — Left Voicemail
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 1 — Left Voicemail
2022-08-01
Call 3 — Left Voicemail
2022-09-30
Dose 5 — Moderna
2022-10-03
Survey response — days 1–6 daily, dose 5
MedDRA: Abnormal loss of weight, Seizure, Syncope — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Seizures, major weight loss >100lbs unexplained, fainting spells

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — days 1–6 daily, dose 5
MedDRA: Seizure — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · 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

Free text: seizures

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — days 1–6 daily, dose 5
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 · 1 call case(s)
2022-10-05
Call 3 — Left Voicemail
2022-10-10
Survey response — day 7, dose 5
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Free text: vision impairments, lots of nail (finger and toe) peeling and pain problems?

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 14, dose 5
MedDRA: Abdominal pain, Influenza like illness, Nausea, Oropharyngeal pain, Paranasal sinus discomfort, Retching, Rhinorrhoea, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: nasal drip, flu like symptoms, sore throat, abdoman pain, sinus pressure, nausea and gagging to point of vomit,

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-30
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-11
Survey response — day 42, dose 5
MedDRA: Condition aggravated, Pre-existing disease — 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: paroxysmal attacks getting much worse

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Report sent to call center — day 42, dose 5
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)
2022-11-14
Call X — Left Voicemail
2022-11-14
Call X — Left Voicemail
2022-11-14
Call 3 — Left Voicemail
2023-01-01
Survey response — 3 months, dose 5
MedDRA: Office visit — Feeling: Good · 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

MedDRA releases: 2024-11
2023-01-01
Report sent to call center — 3 months, dose 5
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 · 1 call case(s)
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-03-31
Survey response — 6 months, dose 5
MedDRA: Bronchiectasis, COVID-19, Cough, Pre-existing disease, Unevaluable event — 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

MedDRA releases: 2024-11
2023-03-31
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2023-04-03
Call 2 — Left Voicemail
2023-04-03
Call 2 — Left Voicemail
2023-04-03
Call 2 — Left Voicemail
2023-04-03
Call 2 — Left Voicemail
2023-04-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna
3	2021-08-25	Moderna	No
4	2022-04-29	Moderna	No
5	2022-09-30	Moderna	No

Call center

14 call center cases

9 successful · 5 unsuccessful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-08

Systemic reaction (other): Difficulty breathing. Im also pregnant and have Crohns disease.

Release 4 — day 14, dose 1

2021-02-23

Symptoms: I broke my leg and had to have surgery.

Healthcare visit (other): surgery

Release 5 — day 0, dose 2

2021-03-08

Systemic reaction (other): I'm also 36wks pregnant

Release 6 — day 21, dose 2

2021-03-29

Symptoms: migraines, body pain

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: Severe fatigue

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Back pain, joint pain in legs, foot pain both feet

Release 11 — 12 months, dose 2

2022-03-08

Symptoms: Ehlers Danlos Syndrome, crohn's flare

Healthcare visit (other): colonoscopy and upper endoscopy, MRI, steroid injection in spine

Release 11 — day 7, dose 4

2022-05-12

Systemic reaction (other): Constipation

Release 11 — day 14, dose 4

2022-05-13

Symptoms: Sore throat

Release 11 — day 21, dose 4

2022-05-21

Symptoms: I have covid

Release 11 — day 28, dose 4

2022-05-27

Symptoms: Covid positive

Release 12 — 3 months, dose 4

2022-07-31

Symptoms: uterine polyps, weight loss, fainting

Healthcare visit (other): ultrasound, surgery

Release 12 — days 1–6 daily, dose 5

2022-10-03

Systemic reaction (other): Seizures, major weight loss >100lbs unexplained, fainting spells

2022-10-04

Systemic reaction (other): seizures

Release 12 — day 7, dose 5

2022-10-10

Systemic reaction (other): vision impairments, lots of nail (finger and toe) peeling and pain problems?

Release 12 — day 14, dose 5

2022-10-14

Symptoms: nasal drip, flu like symptoms, sore throat, abdoman pain, sinus pressure, nausea and gagging to point of vomit,

Release 12 — day 42, dose 5

2022-11-11

Symptoms: paroxysmal attacks getting much worse

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	Surgery	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Back pain	✓	·	✓
SD	Bronchiectasis	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Crohn's disease	·	·	✓
SD	Ehlers-Danlos syndrome	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Lower limb fracture	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Retching	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Surgery	✓	✓	✓
SD	Syncope	·	·	✓
SD	Uterine polyp	·	·	✓
SD	Vomiting	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Abnormal loss of weight	·	·	✓
SRO	Constipation	·	·	✓
SRO	Crohn's disease	✓	✓	○
SRO	Dyspnoea	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pregnancy	✓	✓	✓
SRO	Seizure	·	·	✓
SRO	Syncope	·	·	✓
SRO	Unevaluable event	·	·	✓

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