5SK-25911-57710

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 193 / PA
Registered: 2021-03-31

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

2021-03-30
Dose 1 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I have a cold (son just had a non covid cold) - I have a sore throat, running nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I also have a cold so I cannot tell which symptoms are related to what

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I also have a non covid cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Good · Headache

Free text: Recovering from a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Chills, Pain, Pyrexia — Feeling: Good · Be unable to work

Free text: I got a second cold (tested negative for covid) with body aches, fever, chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: On my period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 35, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Became pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Abortion spontaneous, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Got pregnant and had a miscarriage

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-27	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): I have a cold (son just had a non covid cold) - I have a sore throat, running nose

2021-04-02

Systemic reaction (other): I also have a cold so I cannot tell which symptoms are related to what

2021-04-03

Systemic reaction (other): I also have a non covid cold

2021-04-04

Systemic reaction (other): Recovering from a cold

Release 7 — day 14, dose 1

2021-04-13

Symptoms: I got a second cold (tested negative for covid) with body aches, fever, chills.

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): On my period

2021-04-29

Systemic reaction (other): Night sweats

Release 8 — day 35, dose 2

2021-06-01

Symptoms: Became pregnant

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Got pregnant and had a miscarriage

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	Chills	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pregnancy	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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