5KP-12277-68853

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 852 / AZ
Registered: 2021-04-16

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

2021-04-16
Registered in v-safe
2021-04-16
Dose 1 — Moderna
2021-04-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Joint pain is on my left side only (the side where I chose to take the shot)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-30
Survey response — day 14, dose 1
MedDRA: Fatigue, Menstrual disorder, Menstruation delayed, Menstruation irregular, Morning sickness, Pregnancy, Somnolence — Feeling: Good · Be unable to do your normal daily activities

Free text: I felt tired and sleepy (and other pregnancy symptoms like morningsickness) , also my menstrual period was delayed for a week ..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-14
Dose 2 — Moderna
2021-05-14
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I had a repeated sudden pain in my left side mid chest .. pain was sharp and sudden but didn't last for long just a minute or so then it comes back after an hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discolouration, Injection site induration, Injection site reaction, Musculoskeletal stiffness — Feeling: Good · Site: Redness, Swelling · Abdominal pain · Be unable to do your normal daily activities

Free text: Injection site is stiff/hard and dark colored

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fever · Abdominal pain

Adult check-in
2021-05-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 21, dose 2
MedDRA: Asthenia, Dyspnoea, Thalassaemia — Feeling: Good · Be unable to do your normal daily activities

Free text: Energy level is lower than usual. Sometimes I feel that my breathing is slightly heavy/ difficult. Note: I have thalassemia which could be one of the reasons of my symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-15
Survey response — 3 months, dose 2
MedDRA: Fatigue, Nasal congestion, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Last week I had common cold symptoms. I was fatigue with stuffed nose but no high temperature.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-13
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Fatigue, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose then Lost of taste and smell. Tiredness.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Syncope, Transfusion — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Miscarriage · Healthcare visit (other): Fainting, blood transfusion

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Moderna
2	2021-05-14	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-05-14	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Joint pain is on my left side only (the side where I chose to take the shot)

Release 8 — day 14, dose 1

2021-04-30

Symptoms: I felt tired and sleepy (and other pregnancy symptoms like morningsickness) , also my menstrual period was delayed for a week ..

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): I had a repeated sudden pain in my left side mid chest .. pain was sharp and sudden but didn't last for long just a minute or so then it comes back after an hour

2021-05-18

Systemic reaction (other): Injection site is stiff/hard and dark colored

Release 8 — day 21, dose 2

2021-06-04

Symptoms: Energy level is lower than usual. Sometimes I feel that my breathing is slightly heavy/ difficult. Note: I have thalassemia which could be one of the reasons of my symptoms.

Release 9 — 3 months, dose 2

2021-08-15

Symptoms: Last week I had common cold symptoms. I was fatigue with stuffed nose but no high temperature.

Release 10 — 6 months, dose 2

2021-11-13

Symptoms: Runny nose then Lost of taste and smell. Tiredness.

Release 11 — 12 months, dose 2

2022-05-14

Symptoms: Miscarriage

Healthcare visit (other): Fainting, blood transfusion

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	Syncope	·	·	✓
HCVO	Transfusion	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Menstrual disorder	✓	✓	○
SD	Menstruation delayed	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Morning sickness	✓	✓	○
SD	Nasal congestion	✓	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Pregnancy	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Somnolence	✓	✓	○
SD	Thalassaemia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓

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