HFK-20530-01144

4 vaccinations 4 coded responses 51 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 217 / MD
Registered: 2021-02-01

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

Registered dependents

AXK-22297-93360 Child or adolescent in my care · Male · 2022-06-28

UB5-31287-10977 Child or adolescent in my care · Male · 2022-10-23

Timeline

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Moderna
2021-02-01
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-08
Dose 4 — Moderna
2022-09-08
Health check-in — day 0, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-11
Survey response — days 1–6 daily, dose 4
MedDRA: Lactation insufficiency — Feeling: Good · Site: Pain

Free text: Drop in milk supply

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Survey response — days 1–6 daily, dose 4
MedDRA: Lactation insufficiency — Feeling: Good · Site: Pain

Free text: Decrease in milk supply

MedDRA releases: 2024-11 · check-in free text available
2022-09-13
Survey response — days 1–6 daily, dose 4
MedDRA: Lactation insufficiency — Feeling: Good

Free text: Decrease in milk supply

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-08
Survey response — 3 months, dose 4
MedDRA: Gastroenteritis viral, Influenza — 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: FluA and stomach bug

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — 3 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-09
Call successful
Does not wish to fill out VAERS report
2023-03-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna
3	2021-10-29	Moderna	No
4	2022-09-08	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 4

2022-09-11

Systemic reaction (other): Drop in milk supply

2022-09-12

Systemic reaction (other): Decrease in milk supply

2022-09-13

Systemic reaction (other): Decrease in milk supply

Release 12 — 3 months, dose 4

2022-12-08

Symptoms: FluA and stomach bug

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	Gastroenteritis viral	·	·	✓
SD	Influenza	·	·	✓
SRO	Lactation insufficiency	·	·	✓

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