CB6-10326-60594

4 vaccinations 13 coded responses 33 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 913 / CA
Registered: 2021-01-08

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

Timeline

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-08
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Vertigo — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Cough, Migraine, Sneezing — Feeling: Poor · Be unable to work

Free text: Cough, sneezing, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Free text: Bruising at site of injection

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

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-18
Survey response — day 14, dose 2
MedDRA: Migraine, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ongoing rash to neck area x 9 days now. Migraine today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 21, dose 2
MedDRA: Cough, Rash — Feeling: Good

Free text: Cough daily, rash to neck finally went away 2 days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work, 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: Miscarriage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Call 1 — Left Voicemail
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Anti-cyclic citrullinated peptide antibody positiv, Migraine — 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 · Telehealth, virtual health, or email health consultation

Free text: Elevated CCP, frequent migraines

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 6 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)
2021-08-10
Call 1 — Could Not Reach Participant
2021-08-16
Call 2 — Could Not Reach Participant
2021-11-05
Dose 3 — Moderna
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Haemoptysis, Office visit, Palindromic rheumatism — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hemoptysis, palindrome rheumatoid arthritis · Healthcare visit (other): In person physical exam

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-08
Call 1 — Left Voicemail
2022-10-01
Dose 4 — Moderna
Co-administered: Flu
2022-10-13
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-10-15
Survey response — day 14, dose 4
MedDRA: Fatigue, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, tingling

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-12
Survey response — day 42, dose 4
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-12-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-01
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-04	Moderna
3	2021-11-05	Moderna	No
4	2022-10-01	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2021-01-12	priority 2/3
2021-05-06	Unsuccessful
2021-08-07	Unsuccessful
2022-02-04	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-08

Systemic reaction (other): Mild dizziness

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Vertigo, cough

2021-01-13

Systemic reaction (other): Chest pain

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Cough, sneezing, migraine

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Bruising at site of injection

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Ongoing rash to neck area x 9 days now. Migraine today.

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Cough daily, rash to neck finally went away 2 days ago.

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Rash

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Miscarriage

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Elevated CCP, frequent migraines

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Hemoptysis, palindrome rheumatoid arthritis

Healthcare visit (other): In person physical exam

Release 12 — day 14, dose 4

2022-10-15

Symptoms: Fatigue, tingling

Release 12 — day 42, dose 4

2022-11-12

Symptoms: Joint pain

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	Office visit	·	·	✓
SD	Abortion spontaneous	✓	✓	✓
SD	Anti-cyclic citrullinated peptide antibody positiv	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Haemoptysis	·	·	✓
SD	Migraine	✓	✓	✓
SD	Palindromic rheumatism	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Rash	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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