7PG-49656-80881

4 vaccinations 10 coded responses 32 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 685 / NE
Registered: 2021-04-18

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

Registered dependents

RSR-21440-79905 Child or adolescent in my care · Female · 2022-06-25

6CT-79348-80944 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

2021-03-27
Dose 1 — Moderna
2021-04-18
Registered in v-safe
2021-04-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I forgot to report acid reflux on the night of my shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 35, dose 2
MedDRA: Fatigue, Morning sickness, Pregnancy — Feeling: Fair

Free text: Fatigue, nausea, etc. from new pregnancy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Fatigue, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Cold symptoms: congestion, runny nose, fatigue, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good

Free text: I've had cold symptoms a couple times.

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Dose 3 — Moderna
2021-10-30
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Survey response — day 35, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-23
Survey response — 6 months, dose 3
MedDRA: COVID-19, Perinatal depression — 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, Outpatient clinic or urgent care clinic visit

Free text: Covid, postpartum depression

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — 6 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)
2022-04-25
Call 1 — Left Voicemail
2022-09-02
Dose 4 — Moderna
2022-09-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-09-30
Survey response — day 28, dose 4
MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diarrhea, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — day 35, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 42, dose 4
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-03
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-21	Moderna
3	2021-10-23	Moderna	No
4	2022-09-02	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-23	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): I forgot to report acid reflux on the night of my shot.

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Fatigue, nausea, etc. from new pregnancy

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Cold symptoms: congestion, runny nose, fatigue, sore throat

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: I've had cold symptoms a couple times.

Release 10 — day 7, dose 3

2021-10-30

Systemic reaction (other): Sore throat

Release 10 — day 35, dose 3

2021-11-27

Symptoms: Cold symptoms

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Covid, postpartum depression

Release 12 — day 28, dose 4

2022-09-30

Symptoms: Diarrhea, fatigue

Release 12 — day 35, dose 4

2022-10-09

Symptoms: Cold symptoms

Release 12 — day 42, dose 4

2022-10-14

Symptoms: Cold symptoms

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	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Morning sickness	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Perinatal depression	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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