724-23873-53594

3 vaccinations 6 coded responses 19 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 809 / CO
Registered: 2021-06-07

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

2021-04-22
Dose 1 — Moderna
2021-05-20
Dose 2 — Moderna
2021-06-07
Registered in v-safe
2021-06-07
Survey response — day 14, dose 2
MedDRA: Asthma, Hypersensitivity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma and allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — day 14, dose 2
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)
2021-06-09
Call 1 — Left Voicemail
2021-06-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Survey response — 3 months, dose 2
MedDRA: Hydronephrosis, Pre-existing disease, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was told I have hydronephrosis. I have always had urinary tract issues though and it seems that my pregnancy most likely is causing my hydronephrosis so I really dont think it was related to the vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Call 1 — Left Voicemail
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Facial pain, Headache, Swelling face — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The side of my face and head became swollen and painful after a TDAP vaccine. It lasted 24 hours then went away without intervention.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
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)
2021-11-19
Call 1 — Left Voicemail
2021-12-01
Dose 3 — Moderna
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Muscle or body aches

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-12-08
Survey response — day 7, dose 3
MedDRA: Pregnancy — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I'm 9 months pregnant so I think my symptoms are normal

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 14, dose 3
MedDRA: Dehydration, Delivery, Dizziness, Fatigue, Medical counselling, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I delivered my baby on Friday and almost passed out a couple days ago. I had swelling in my hands and feet. The drs think I'm just dehydrated and exhausted.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2021-12-17
Call 1 — Left Voicemail
2021-12-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-06
Survey response — day 35, dose 3
MedDRA: Back injury, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Threw out my preexisting herniated L5 lumbar disc.

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-05
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-12-01	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-07	Unsuccessful
2021-08-19	Unsuccessful
2021-11-18	Unsuccessful
2021-12-15	Unsuccessful

Free text

Release 8 — day 14, dose 2

2021-06-07

Symptoms: Asthma and allergies

Release 9 — 3 months, dose 2

2021-08-19

Symptoms: I was told I have hydronephrosis. I have always had urinary tract issues though and it seems that my pregnancy most likely is causing my hydronephrosis so I really dont think it was related to the vaccine.

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: The side of my face and head became swollen and painful after a TDAP vaccine. It lasted 24 hours then went away without intervention.

Release 10 — day 7, dose 3

2021-12-08

Systemic reaction (other): I'm 9 months pregnant so I think my symptoms are normal

Release 10 — day 14, dose 3

2021-12-15

Symptoms: I delivered my baby on Friday and almost passed out a couple days ago. I had swelling in my hands and feet. The drs think I'm just dehydrated and exhausted.

Release 10 — day 35, dose 3

2022-01-06

Symptoms: Threw out my preexisting herniated L5 lumbar disc.

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	Asthma	✓	✓	✓
SD	Back injury	·	·	✓
SD	Dehydration	·	·	✓
SD	Delivery	·	·	✓
SD	Dizziness	·	·	✓
SD	Facial pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hydronephrosis	✓	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pregnancy	✓	·	✓
SD	Swelling face	·	·	✓
SRO	Pregnancy	·	·	✓

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