9LW-18801-44513

3 vaccinations 5 coded responses 37 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 857 / AZ
Registered: 2021-01-12

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

Registered dependents

23T-15740-86584 Child or adolescent in my care · Male · 2021-11-08

Timeline

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

2021-01-09
Dose 1 — Moderna
2021-01-12
Registered in v-safe
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Diarrhea

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Faeces discoloured — Feeling: Good · Diarrhea

Free text: Grey stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold virus. Congestion and sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Dose 3 — Moderna
2022-01-07
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Haemorrhage in pregnancy — Feeling: Fair · Site: Pain · Abdominal pain

Free text: I'm 8wks pregnant and had spotting today

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-08
Survey response — 3 months, dose 3
MedDRA: Nasal congestion — Feeling: Fair

Free text: Nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-07-10
Survey response — 6 months, dose 3
MedDRA: Breast cancer — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Just diagnosed with Breast Cancer

MedDRA releases: 2024-11 · check-in free text available
2022-07-10
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-11
Call 1 — Left Voicemail
2023-01-09
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna
3	2022-01-07	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Grey stool

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: Cold virus. Congestion and sinus pressure

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): I'm 8wks pregnant and had spotting today

Release 11 — 3 months, dose 3

2022-04-08

Symptoms: Nasal congestion

Release 12 — 6 months, dose 3

2022-07-10

Symptoms: Just diagnosed with Breast Cancer

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	Breast cancer	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Faeces discoloured	✓	✓	✓
SRO	Haemorrhage in pregnancy	·	·	✓

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