BWS-50945-50983

4 vaccinations 5 coded responses 45 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 480 / MI
Registered: 2021-05-18

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

Registered dependents

6S8-13334-99398 Child or adolescent in my care · Male · 2022-07-08

V73-61111-72421 Child or adolescent in my care · Male · 2023-04-25

Timeline

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

2021-05-04
Dose 1 — Moderna
2021-05-18
Registered in v-safe
2021-05-18
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Rash, Urticaria — Feeling: Good

Free text: The Moderna rash, a large red welt appeared on my left shoulder, which was the vaccination arm, eight days after my first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-01
Dose 2 — Moderna
2021-06-01
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Dose 3 — Moderna
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

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

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

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-01-14
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2022-01-21
Survey response — day 14, dose 3
MedDRA: Skin neoplasm excision — Feeling: Poor

Free text: Basal cell carcinoma removal two days ago. Unrelated obviously.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
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
Survey response — day 35, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: I'm pregnant!

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-30
Dose 4 — Moderna
2022-09-30
Health check-in — day 0, dose 4
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-02
Survey response — days 1–6 daily, dose 4
MedDRA: Vaccination site bruising — Feeling: Fair

Free text: Terrible bruising at vaccination site.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — day 21, dose 4
Feeling: Poor

Adult check-in
2022-10-28
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-11
Survey response — day 42, dose 4
MedDRA: Caesarean section, Postpartum haemorrhage — Feeling: Poor · 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: 19 days post C-section hemorrhage .

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-14
Call 1 — Left Voicemail
2022-12-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-04	Moderna
2	2021-06-01	Moderna
3	2022-01-07	Moderna	No
4	2022-09-30	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-18

Symptoms: The Moderna rash, a large red welt appeared on my left shoulder, which was the vaccination arm, eight days after my first vaccine.

Release 10 — day 14, dose 3

2022-01-21

Symptoms: Basal cell carcinoma removal two days ago. Unrelated obviously.

Release 11 — day 35, dose 3

2022-02-11

Symptoms: I'm pregnant!

Release 12 — days 1–6 daily, dose 4

2022-10-02

Systemic reaction (other): Terrible bruising at vaccination site.

Release 12 — day 42, dose 4

2022-11-11

Symptoms: 19 days post C-section hemorrhage .

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	Caesarean section	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Postpartum haemorrhage	·	·	✓
SD	Pregnancy	·	·	✓
SD	Rash	✓	✓	✓
SD	Skin neoplasm excision	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Vaccination site bruising	·	·	✓

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