GN6-61765-84588

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 070 / NJ
Registered: 2021-02-05

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

2021-01-08
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Skin hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — days 1–6 daily, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Muscle spasms, Pelvic pain — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cramping/Charlie horse in calf; random bruise without known cause; pelvic cramping (not related to menstration); possibly pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Possibly pregnant while vaccinated. Will know in two weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 28, dose 2
MedDRA: Dyspepsia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Heartburn. Very unusual for me. I have never had it before. No other changes to explain sudden and frequent onset.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 35, dose 2
MedDRA: Eczema — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Eczema rashes on hip and hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 42, dose 2
MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chemical Pregnancy. Miscarried at 4 weeks. Unsure if related to vaccine. Husband was vaccinated as well while trying to conceive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Call 1 — Left Voicemail
2022-02-05
Survey response — 12 months, dose 2
MedDRA: COVID-19, Pregnancy — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am now 31 weeks pregnant. I also contracted covid 11 days ago.

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-30
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	2021-01-08	Moderna
2	2021-02-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-06	Successful 2022-11-30	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-03-05	Successful 2022-11-30	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-03-13	Successful 2022-11-30	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-03-19	Successful 2022-11-30	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Skin hurt

2021-02-07

Systemic reaction (other): Cramping/Charlie horse in calf; random bruise without known cause; pelvic cramping (not related to menstration); possibly pregnant

2021-02-08

Systemic reaction (other): Possibly pregnant while vaccinated. Will know in two weeks

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Heartburn. Very unusual for me. I have never had it before. No other changes to explain sudden and frequent onset.

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Eczema rashes on hip and hands

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Chemical Pregnancy. Miscarried at 4 weeks. Unsure if related to vaccine. Husband was vaccinated as well while trying to conceive.

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: I am now 31 weeks pregnant. I also contracted covid 11 days ago.

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	Abortion spontaneous	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Eczema	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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