ANY-91865-66520

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 554 / MN
Registered: 2021-03-24

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

Registered dependents

4YJ-24496-51893 Child or adolescent in my care · Female · 2022-09-17

Timeline

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
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: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches · 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: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Back pain (less than yesterday)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Stiff back - no longer painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Mild back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-05
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
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
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: Ectopic pregnancy — 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 · Emergency room or emergency department visit

Free text: Ectopic pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Pregnancy — 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: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — 12 months, dose 2
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)
2022-04-25
Call 1 — Left Voicemail
2022-09-12
Dose 3 — Moderna
2022-09-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2022-09-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-21	Unsuccessful
2022-04-21	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Back pain

2021-04-24

Systemic reaction (other): Back pain (less than yesterday)

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Stiff back - no longer painful

2021-04-27

Systemic reaction (other): Mild back pain

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Ectopic pregnancy

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Pregnancy

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	Ectopic pregnancy	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓

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