6DW-26132-24035

4 vaccinations 4 coded responses 42 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 511 / IA
Registered: 2021-02-11

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

NTT-25483-60582 Child or adolescent in my care · Female · 2022-07-23

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-10
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Moderna
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-21
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-21
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-10-27
Survey response — days 1–6 daily, dose 4
MedDRA: Pregnancy — Feeling: Good · Site: Redness

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 7, dose 4
MedDRA: Axillary pain — Feeling: Good · Site: Redness

Free text: Armpit pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-25
Survey response — day 35, dose 4
MedDRA: Abortion spontaneous — Feeling: Fair · 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: Miscarriage at 8 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-28
Call 2 — Left Voicemail
2022-12-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-21
Survey response — 6 months, dose 4
MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-24
Call 1 — Left Voicemail
2023-04-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-11	Moderna
3	2021-12-11	Moderna	No
4	2022-10-21	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-11-25	Unsuccessful
2023-04-21	Unsuccessful

Free text

Release 12 — days 1–6 daily, dose 4

2022-10-27

Systemic reaction (other): Pregnancy

Release 12 — day 7, dose 4

2022-10-28

Systemic reaction (other): Armpit pain

Release 12 — day 35, dose 4

2022-11-25

Symptoms: Miscarriage at 8 weeks

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	Pregnancy	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Pregnancy	·	·	✓

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