6U3-88742-16835

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

Sex: Female
Age at first dose: 31-35
ZIP prefix: 031 / NH
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Moderna
2021-04-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 14, dose 1
MedDRA: Sinusitis — 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: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Moderna
2021-05-13
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: cough and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: runny nose, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: cough and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-24
Survey response — day 42, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: I have become pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Survey response — 3 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Fair

Free text: Miscarriage of pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My shoulder hurts from carrying my toddler. I have seen my doctor and stretching and rest was recommended.

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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-12
Call 2 — Left Voicemail
2021-12-09
Dose 3 — Moderna
2022-05-17
Survey response — 12 months, dose 2
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I became pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-19
Dose 4 — Pfizer-BioNTech
2022-12-11
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-05-13	Moderna
3	2021-12-09	Moderna	No
4	2022-10-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-29	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-11	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-17	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — day 14, dose 1

2021-04-29

Symptoms: Sinus infection

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): sore throat

2021-05-17

Systemic reaction (other): cough and sore throat

2021-05-18

Systemic reaction (other): runny nose, cough

2021-05-19

Systemic reaction (other): cough and sore throat

Release 9 — day 42, dose 2

2021-06-24

Symptoms: I have become pregnant

Release 9 — 3 months, dose 2

2021-08-12

Symptoms: Miscarriage of pregnancy

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: My shoulder hurts from carrying my toddler. I have seen my doctor and stretching and rest was recommended.

Release 11 — 12 months, dose 2

2022-05-17

Symptoms: I became pregnant

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	Arthralgia	·	·	✓
SD	Office visit	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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