ADJ-13769-32670

3 vaccinations 7 coded responses 33 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 223 / VA
Registered: 2021-01-18

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

Registered dependents

TRQ-22173-20002 Child or adolescent in my care · Female · 2022-08-24

Timeline

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Survey response — day 14, dose 1
MedDRA: Contusion — Feeling: Good

Free text: Bruises on both arms right above elbow. Unsure how I got them

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 21, dose 1
MedDRA: Influenza, SARS-CoV-2 test — Feeling: Fair · 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: Symptoms: Flu type A · Healthcare visit (other): Covid-19 and flu rapid testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Dose 2 — Moderna
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Postpartum haemorrhage — Feeling: Good

Free text: Got my period after 8 months post-partum

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Call 1 — Could Not Reach Participant
2021-07-21
Call 2 — Could Not Reach Participant
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
Co-administered: Flu
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Breast feeding, Lactation insufficiency — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Lower supply for breastfeeding

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lactation insufficiency — Feeling: Fair · Site: Pain · Headache

Free text: Low breast milk supply

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-02
Survey response — 6 months, dose 3
MedDRA: Ligament sprain, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Shoulder joint sprain · Healthcare visit (other): PT

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna
3	2021-11-01	Moderna	Flu

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-01

Symptoms: Bruises on both arms right above elbow. Unsure how I got them

Release 3 — day 21, dose 1

2021-02-08

Symptoms: Flu type A

Healthcare visit (other): Covid-19 and flu rapid testing

Release 6 — day 35, dose 2

2021-03-22

Symptoms: Diarrhea

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: Got my period after 8 months post-partum

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Lower supply for breastfeeding

2021-11-05

Systemic reaction (other): Low breast milk supply

Release 11 — 6 months, dose 3

2022-05-02

Symptoms: Shoulder joint sprain

Healthcare visit (other): PT

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
HCVO	Physiotherapy	·	·	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Influenza	✓	✓	✓
SD	Ligament sprain	·	·	✓
SD	Postpartum haemorrhage	✓	✓	✓
SRO	Breast feeding	·	·	✓
SRO	Lactation insufficiency	·	·	✓

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