7KQ-16106-76706

3 vaccinations 8 coded responses 37 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 303 / GA
Registered: 2021-06-16

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

2021-06-16
Registered in v-safe
2021-06-16
Dose 1 — Moderna
2021-06-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-14
Survey response — day 28, dose 1
MedDRA: Abdominal pain upper, Sinus disorder — Feeling: Fair

Free text: Sinus drip, occasional stomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Dose 2 — Moderna
2021-07-19
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Allergies/Asthma from before shot

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Asthma is worse

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-07-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-07-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-07-26
Health check-in — day 7, dose 2
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-08-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-18
Survey response — 3 months, dose 2
MedDRA: Gastric ulcer — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach ulcer

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-21
Call 2 — Left Voicemail
2022-01-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-20
Dose 3 — Moderna
2022-01-21
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Pain, Paraesthesia — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Body pain feels like needles or numbness

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Lymph node in armpit (of shot arm) is still swollen

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-27
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-24
Survey response — day 35, dose 3
MedDRA: Abdominal distension, Diarrhoea, Nausea, Pain, Vomiting — 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 · Telehealth, virtual health, or email health consultation

Free text: Bloating, nausea, vomiting, diarrhea, body aches

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — day 35, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Call 2 — Left Voicemail
2022-04-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-20
Survey response — 12 months, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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

MedDRA releases: 2024-11
2023-01-20
Report sent to call center — 12 months, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-23
Call 1 — Left Voicemail
2023-01-23
Call 1 — Left Voicemail
2023-01-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-16	Moderna
2	2021-07-19	Moderna	No
3	2022-01-20	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-18	Unsuccessful
2022-02-24	Unsuccessful
2023-01-20	Unsuccessful

Free text

Release 9 — day 28, dose 1

2021-07-14

Symptoms: Sinus drip, occasional stomach ache

Release 9 — day 0, dose 2

2021-07-19

Systemic reaction (other): Allergies/Asthma from before shot

Release 9 — days 1–6 daily, dose 2

2021-07-20

Systemic reaction (other): Asthma is worse

Release 10 — 3 months, dose 2

2021-10-18

Symptoms: Stomach ulcer

Release 11 — days 1–6 daily, dose 3

2022-01-21

Systemic reaction (other): Body pain feels like needles or numbness

2022-01-23

Systemic reaction (other): Lymph node in armpit (of shot arm) is still swollen

Release 11 — day 35, dose 3

2022-02-24

Symptoms: Bloating, nausea, vomiting, diarrhea, body aches

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 distension	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Gastric ulcer	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Asthma	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Pre-existing disease	·	·	✓

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