F5J-18044-16178

4 vaccinations 9 coded responses 39 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 565 / MN
Registered: 2021-03-18

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

Timeline

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain

Free text: Soreness at injection site has increased today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Discomfort — Feeling: Good · Joint pains

Free text: Soreness/discomfort in right elbow (injection was left arm).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Erythema, Injection site pruritus, Injection site swelling — Feeling: Good

Free text: Day 7 developed bump/raised skin at injection site which also itched, lasted a few days. Redness continued, but seems to have gone away now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Currently menstruating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Moderna
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Gastroenteritis viral, Pregnancy, Prenatal care, SARS-CoV-2 test — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pregnancy, stomach bug in January (vomiting) · Healthcare visit (other): Covid test, regular pregnancy care

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-20
Call 1 — Left Voicemail
2022-08-05
Dose 4 — Moderna
2022-08-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-08-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-08-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-08-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-08-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-12
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-19
Survey response — day 14, dose 4
MedDRA: Diarrhoea, Vomiting — Feeling: Fair

Free text: Diarrhea, vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Survey response — day 21, dose 4
MedDRA: Complication of delivery — 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, Hospitalization

Free text: Symptoms: Went through labor and delivery with complications. · Healthcare visit (other): Labor and delivery with complications

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Report sent to call center — day 21, dose 4
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 · Hospitalization · 1 call case(s)
2022-08-29
Call 2 — Left Voicemail
2022-08-29
Call 1 — Left Voicemail
2022-09-02
Survey response — day 28, dose 4
MedDRA: Delivery, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: UTI after delivery

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-09-06
Call 3 — Left Voicemail
2022-09-06
Call 2 — Left Voicemail
2022-09-06
Call 1 — Left Voicemail
2022-09-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-02-03
Survey response — 6 months, dose 4
MedDRA: Ear infection, Nasopharyngitis — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-02-03
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-02-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna
3	2021-12-16	Moderna	No
4	2022-08-05	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Soreness at injection site has increased today

2021-03-24

Systemic reaction (other): Soreness/discomfort in right elbow (injection was left arm).

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Day 7 developed bump/raised skin at injection site which also itched, lasted a few days. Redness continued, but seems to have gone away now.

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Currently menstruating

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Pregnancy, stomach bug in January (vomiting)

Healthcare visit (other): Covid test, regular pregnancy care

Release 12 — day 14, dose 4

2022-08-19

Symptoms: Diarrhea, vomiting

Release 12 — day 21, dose 4

2022-08-26

Symptoms: Went through labor and delivery with complications.

Healthcare visit (other): Labor and delivery with complications

Release 12 — day 28, dose 4

2022-09-02

Symptoms: UTI after delivery

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	Complication of delivery	·	·	✓
HCVO	Prenatal care	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Complication of delivery	·	·	✓
SD	Delivery	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Ear infection	·	·	✓
SD	Erythema	✓	✓	✓
SD	Gastroenteritis viral	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pregnancy	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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