6XS-30446-64015

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 484 / MI
Registered: 2021-04-06

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

Registered dependents

ZML-27168-45667 Child or adolescent in my care · Female · 2021-11-17

MVJ-31420-83326 Child or adolescent in my care · Female · 2021-11-17

Timeline

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: I feel like I'm having contractions, but I'm definitely not pregnant. Not painful contractions, more like Braxton-Hicks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Survey response — day 14, dose 1
MedDRA: Chest pain — Feeling: Fair

Free text: I've had a weird chest pain on and off. I'm not sure if it is related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Nausea

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal rigidity, Burning sensation, Pain in extremity, Peripheral swelling, Skin warm — Feeling: Poor · Site: Pain, Swelling · 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: Contraction like symptoms in my abdomen. My arm was burning and hot during the night when it was swollen and painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Joint pains, Nausea

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-05-11
Survey response — day 7, dose 2
MedDRA: Abdominal pain upper, Nausea — Feeling: Fair · Nausea, Abdominal pain

Free text: I've been having ongoing stomach pains/nausea since getting the shot. I guess I should have been selecting abdominal pain, but haven't.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Headache — Feeling: Fair

Free text: Headache and abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Abdominal pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-15
Call 1 — Left Voicemail
2021-12-18
Dose 3 — Moderna
2021-12-18
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Fever · Chills, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: I think I had a stomach bug

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna
3	2021-12-18	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): I feel like I'm having contractions, but I'm definitely not pregnant. Not painful contractions, more like Braxton-Hicks.

Release 7 — day 14, dose 1

2021-04-25

Symptoms: I've had a weird chest pain on and off. I'm not sure if it is related.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Contraction like symptoms in my abdomen. My arm was burning and hot during the night when it was swollen and painful.

2021-05-07

Systemic reaction (other): Lack of appetite

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): I've been having ongoing stomach pains/nausea since getting the shot. I guess I should have been selecting abdominal pain, but haven't.

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Headache and abdominal pain.

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Abdominal pain

Release 10 — day 7, dose 3

2021-12-25

Systemic reaction (other): I think I had a stomach bug

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	Abdominal pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Headache	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Abdominal rigidity	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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