5LH-47401-44988

4 vaccinations 7 coded responses 40 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 023 / MA
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain, Redness · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pain, SOB

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — day 14, dose 2
MedDRA: Dyspnoea — Feeling: Good · Be unable to work

Free text: More shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Call 1 — Left Voicemail
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Polyhydramnios — 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 · Hospitalization

Free text: Polyhydramnios

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
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)
2021-08-04
Call 1 — Left Voicemail
2021-11-19
Dose 3 — Moderna
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: I feel the need to tell you I have a 7 month old that just decided he doesn't like his bassinet and an almost 3 year old who has grown roughly a foot since the pandemic began and she's very smart and quite loud. Just like my mom said she would be.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-19
Dose 4 — Moderna
Co-administered: Flu
2022-10-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-19
Survey response — 3 months, dose 4
MedDRA: Respiratory syncytial virus infection, Sinusitis — 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

Free text: RSV and sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Report sent to call center — 3 months, 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 · 1 call case(s)
2022-12-20
Call 2 — Left Voicemail
2022-12-20
Call 2 — Left Voicemail
2022-12-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-29	Moderna
3	2021-11-19	Moderna	No
4	2022-09-19	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-02-01	Unsuccessful
2021-07-30	Unsuccessful
2022-12-19	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Chest pain, SOB

2021-02-04

Systemic reaction (other): Shortness of breath

Release 4 — day 14, dose 2

2021-02-12

Symptoms: More shortness of breath

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Polyhydramnios

Release 10 — days 1–6 daily, dose 3

2021-11-24

Systemic reaction (other): I feel the need to tell you I have a 7 month old that just decided he doesn't like his bassinet and an almost 3 year old who has grown roughly a foot since the pandemic began and she's very smart and quite loud. Just like my mom said she would be.

Release 10 — day 7, dose 3

2021-11-26

Systemic reaction (other): Dizziness

Release 12 — 3 months, dose 4

2022-12-19

Symptoms: RSV and sinus infection

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	Dyspnoea	✓	✓	✓
SD	Polyhydramnios	✓	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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