5N8-52449-90146

3 vaccinations 10 coded responses 33 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 030 / NH
Registered: 2021-01-08

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

2021-01-06
Dose 1 — Moderna
2021-01-08
Registered in v-safe
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Survey response — day 14, dose 1
MedDRA: Abdominal distension — Feeling: Good

Free text: Bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 21, dose 1
MedDRA: Fatigue, Panic attack — Feeling: Fair · Be unable to do your normal daily activities

Free text: FatiguePanic attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Insomnia, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Dysautonomia flare, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Good · Site: Pain · Fever

Free text: Sweats overnight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Survey response — day 21, dose 2
MedDRA: Abdominal pain lower — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in left lower abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — day 28, dose 2
MedDRA: Abdominal pain — Feeling: Poor · 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: Pain left abdomenWeeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Imaging procedure, Ultrasound liver abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Left sided abdominal painLiver abnormalities on ultrasound · Healthcare visit (other): Imaging

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-01
Call successful
Does not wish to fill out VAERS report
2021-06-01
Call successful
Does not wish to fill out VAERS report
2021-06-01
Call successful
Does not wish to fill out VAERS report
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Headache, Subchorionic haematoma — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: HeadachesSubchorionic hematoma

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Call successful
Does not wish to fill out VAERS report
2021-12-07
Dose 3 — Moderna
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-12-25
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Health check-in — day 21, dose 3
Feeling: Poor

Adult check-in
2022-01-04
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Survey response — day 35, dose 3
MedDRA: Joint noise, Pain in extremity, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hand swelling & pain Hip popping

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-20
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-09
Survey response — 12 months, dose 3
MedDRA: Breast feeding, Delivery, Unevaluable event, Vasospasm — Feeling: Poor

Free text: Pregnancy Childbirth Breastfeeding Nipple vasospasm

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2021-12-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2021-02-24	Successful 2021-06-01	Does not wish to fill out VAERS report
2021-03-03	Successful 2021-06-01	Does not wish to fill out VAERS report
2021-03-16	Successful 2021-06-01	Does not wish to fill out VAERS report
2021-08-04	Successful 2021-08-09	Does not wish to fill out VAERS report
2022-01-11	Successful 2022-01-12	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — day 14, dose 1

2021-01-24

Symptoms: Bloating

Release 2 — day 21, dose 1

2021-01-28

Symptoms: FatiguePanic attacks

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Dysautonomia flare, insomnia

2021-02-05

Systemic reaction (other): Sweats overnight

Release 4 — day 21, dose 2

2021-02-24

Symptoms: Pain in left lower abdomen

Release 4 — day 28, dose 2

2021-03-03

Symptoms: Pain left abdomenWeeping

Release 5 — day 35, dose 2

2021-03-16

Symptoms: Left sided abdominal painLiver abnormalities on ultrasound

Healthcare visit (other): Imaging

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: HeadachesSubchorionic hematoma

Release 10 — day 35, dose 3

2022-01-11

Symptoms: Hand swelling & pain Hip popping

Release 12 — 12 months, dose 3

2022-12-09

Symptoms: Pregnancy Childbirth Breastfeeding Nipple vasospasm

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	Imaging procedure	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain lower	✓	✓	✓
SD	Breast feeding	·	·	✓
SD	Delivery	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Joint noise	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Panic attack	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Subchorionic haematoma	✓	·	✓
SD	Ultrasound liver abnormal	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Vasospasm	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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