4RU-94736-35469

3 vaccinations 8 coded responses 36 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 802 / CO
Registered: 2021-02-13

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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Nausea

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Menstruation (tiredness not likely related to vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — day 7, dose 1
MedDRA: Axillary mass — Feeling: Good · Site: Pain

Free text: Lump in underarm on arm where vaccine was injected (lymph node?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Feeling abnormal, Respiratory tract irritation — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Irritation of lungs, mild labored breathing, yesterday experienced lots of fogginess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Redness, Swelling · Joint pains, Nausea · Be unable to do your normal daily activities

Free text: Difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-03-16
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 · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Menstrual disorder — Feeling: Fair

Free text: Abnormal menstruated cycle since vaccination with negative pregnancy tests.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Moderna
Co-administered: Flu
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-08
Survey response — day 21, dose 3
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Early period with heavy bleeding

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-10
Call 1 — Left Voicemail
2021-12-13
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-17
Survey response — 3 months, dose 3
MedDRA: Cough, Respiratory tract congestion, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough, congestion, sinus infection.

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Survey response — 12 months, dose 3
MedDRA: Abortion spontaneous — Feeling: Good

Free text: Pregnancy and miscarriage at 8 weeks

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-10	Moderna
3	2021-11-15	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-12-08	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Menstruation (tiredness not likely related to vaccine)

Release 4 — day 7, dose 1

2021-02-21

Systemic reaction (other): Lump in underarm on arm where vaccine was injected (lymph node?)

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Irritation of lungs, mild labored breathing, yesterday experienced lots of fogginess

2021-03-13

Systemic reaction (other): Difficulty breathing

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Abnormal menstruated cycle since vaccination with negative pregnancy tests.

Release 10 — day 21, dose 3

2021-12-08

Symptoms: Early period with heavy bleeding

Release 11 — 3 months, dose 3

2022-02-17

Symptoms: Cough, congestion, sinus infection.

Release 12 — 12 months, dose 3

2022-11-15

Symptoms: Pregnancy and miscarriage at 8 weeks

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	Abortion spontaneous	·	·	✓
SD	Cough	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Respiratory tract irritation	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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