6CL-12571-01027

5 vaccinations 9 coded responses 28 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 230 / VA
Registered: 2021-04-20

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Moderna
2021-04-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good

Free text: Im breastfeeding, my son exhibited 99.3 fever for first 24 hours. His low grade fever was gone this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — day 7, dose 1
MedDRA: Breast feeding, Heavy menstrual bleeding, Menstruation irregular, Postpartum state — Feeling: Good · Abdominal pain

Free text: I find it weird that i am 3 months postpartum and breastfeeding, that my period started four days after my vaccine. Oddly enough my sister who is 5 months postpartum and breastfeeding started her period two days after the moderna vaccine too. Heavy period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Moderna
2021-05-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-01
Survey response — day 14, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Good

Free text: Psoriasis flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 21, dose 2
MedDRA: Fatigue, Increased tendency to bruise — Feeling: Good

Free text: Still feeling excessively tired. Started bruising easily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-22
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen lymph nodes. · Healthcare visit (other): Went ro my doctor for blood work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Good

Free text: My suto immune disease Psoriasis is still flaring up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Call 3 — Left Voicemail
2021-08-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Survey response — 6 months, dose 2
MedDRA: Grip strength decreased, Menstruation irregular, Office visit, Pre-existing disease, Psoriatic arthropathy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My Psoriatic Arthritis is flaring, lost my grip strength in right hand specifically thumb and forefinger, middle finger, and ring finger. Irregular periods. · Healthcare visit (other): Rheumatologist appointment

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-17
Call 2 — Left Voicemail
2021-11-24
Dose 3 — Moderna
2022-05-18
Dose 4 — Moderna
2022-05-25
Survey response — 6 months, dose 3
MedDRA: Pregnancy, Psoriatic arthropathy — Feeling: Good · Be unable to do your normal daily activities

Free text: Psoriatic arthritis and pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Dose 5 — Moderna
2022-10-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-03-12
Survey response — 6 months, dose 5
MedDRA: Pre-existing disease, Psoriatic arthropathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-12
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-13
Call 1 — Requested Callback
2023-03-13
Call 1 — Requested Callback
2023-03-13
Call 1 — Requested Callback
2023-03-14
Call 2 — Left Voicemail
2023-03-14
Callback requested for
11:30AM ET
2023-03-14
Callback requested for
11:30AM ET
2023-03-14
Call 2 — Left Voicemail
2023-03-14
Callback requested for
11:30AM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-18	Moderna
3	2021-11-24	Moderna	No
4	2022-05-18	Moderna	No
5	2022-09-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-22	Unsuccessful
2021-11-16	Unsuccessful
2023-03-12	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): Im breastfeeding, my son exhibited 99.3 fever for first 24 hours. His low grade fever was gone this morning.

Release 8 — day 7, dose 1

2021-04-27

Systemic reaction (other): I find it weird that i am 3 months postpartum and breastfeeding, that my period started four days after my vaccine. Oddly enough my sister who is 5 months postpartum and breastfeeding started her period two days after the moderna vaccine too. Heavy period.

Release 8 — day 14, dose 2

2021-06-01

Symptoms: Psoriasis flare up

Release 8 — day 21, dose 2

2021-06-08

Symptoms: Still feeling excessively tired. Started bruising easily.

Release 9 — day 35, dose 2

2021-06-22

Symptoms: Swollen lymph nodes.

Healthcare visit (other): Went ro my doctor for blood work

Release 9 — day 42, dose 2

2021-06-29

Symptoms: My suto immune disease Psoriasis is still flaring up.

Release 10 — 6 months, dose 2

2021-11-16

Symptoms: My Psoriatic Arthritis is flaring, lost my grip strength in right hand specifically thumb and forefinger, middle finger, and ring finger. Irregular periods.

Healthcare visit (other): Rheumatologist appointment

Release 11 — 6 months, dose 3

2022-05-25

Symptoms: Psoriatic arthritis and pregnancy

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	Office visit	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Grip strength decreased	·	·	✓
SD	Increased tendency to bruise	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Psoriasis	✓	✓	✓
SD	Psoriatic arthropathy	·	·	✓
SRO	Breast feeding	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Postpartum state	✓	✓	✓

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