68L-16891-26373

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 212 / MD
Registered: 2021-04-14

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

2021-04-13
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Decreased appetite, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Poor appetite, occasional cough, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Breast soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Breast discomfort — Feeling: Good

Free text: Still slight breast discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — day 7, dose 1
MedDRA: Abdominal discomfort, Asthenia, Breast pain, Feeling abnormal, Tenderness, Unevaluable event — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Digestive system felt upset last night and a little today. Feel left breast pain and left side neck tender. Brain fog, weakness · Healthcare visit (other): Schedule for tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 14, dose 1
MedDRA: Asthenia, Diarrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Diarrhea, more weakness

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

Adult check-in
2021-05-13
Survey response — day 28, dose 1
MedDRA: Back pain, Breast pain, Fatigue, Intermenstrual bleeding, Pre-existing disease — Feeling: Fair

Free text: I am having more breast pain, back pain fatigue and spotting like I am going to start my period but I should not be as I'm on birth control. Could be unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Dose 2 — Moderna
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-28
Survey response — day 14, dose 2
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good

Free text: Joint pain, possibly flare up of reactive arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — day 21, dose 2
MedDRA: Hormone level abnormal, Intermenstrual bleeding — Feeling: Good

Free text: Hormones have been off and spotting despite being on birth control.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — day 42, dose 2
MedDRA: Intermenstrual bleeding — Feeling: Fair

Free text: Hormones have felt off and I've been spotting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-04-02
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-14	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Poor appetite, occasional cough, runny nose

2021-04-15

Systemic reaction (other): Breast soreness

2021-04-16

Systemic reaction (other): Still slight breast discomfort

Release 7 — day 7, dose 1

2021-04-22

Systemic reaction (other): Digestive system felt upset last night and a little today. Feel left breast pain and left side neck tender. Brain fog, weakness

Healthcare visit (other): Schedule for tomorrow

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Diarrhea, more weakness

Release 8 — day 28, dose 1

2021-05-13

Symptoms: I am having more breast pain, back pain fatigue and spotting like I am going to start my period but I should not be as I'm on birth control. Could be unrelated

Release 8 — day 14, dose 2

2021-05-28

Symptoms: Joint pain, possibly flare up of reactive arthritis

Release 8 — day 21, dose 2

2021-06-06

Symptoms: Hormones have been off and spotting despite being on birth control.

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Hormones have felt off and I've been spotting

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hormone level abnormal	✓	✓	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Breast discomfort	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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