HV3-24403-60695

3 vaccinations 6 coded responses 33 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 750 / TX
Registered: 2021-02-21

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

2021-02-21
Registered in v-safe
2021-02-21
Dose 1 — Moderna
2021-02-21
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 28, dose 2
MedDRA: Depression — Feeling: Fair

Free text: Depression, but it is likely unrelated to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Fair

Free text: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Dose 3 — Moderna
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: These were my symptoms yesterday. Today they are all much more mild

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

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 — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-14
Survey response — day 14, dose 3
MedDRA: Nausea, Oropharyngeal pain, Vomiting — 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 · Emergency room or emergency department visit

Free text: Nausea and vomiting, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — day 14, dose 3
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 · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2021-11-21
Health check-in — day 21, dose 3
Feeling: Poor

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2022-01-30
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: I had a cold a couple of weeks ago but tested negative for Covid every few days. I had coughing, fatigue, and congestion

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — 6 months, dose 3
MedDRA: Stillbirth — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Stillbirth

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 6 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-02
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	2021-02-21	Moderna
2	2021-03-22	Moderna
3	2021-10-31	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-14	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-01	Successful 2022-05-02	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — day 28, dose 2

2021-04-19

Symptoms: Depression, but it is likely unrelated to the vaccine

Release 9 — 6 months, dose 2

2021-09-20

Symptoms: Pregnant

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): These were my symptoms yesterday. Today they are all much more mild

Release 10 — day 14, dose 3

2021-11-14

Symptoms: Nausea and vomiting, sore throat

Release 11 — 3 months, dose 3

2022-01-30

Symptoms: I had a cold a couple of weeks ago but tested negative for Covid every few days. I had coughing, fatigue, and congestion

Release 11 — 6 months, dose 3

2022-05-01

Symptoms: Stillbirth

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	Cough	·	·	✓
SD	Depression	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Stillbirth	·	·	✓
SD	Vomiting	·	·	✓
SRO	Adverse reaction	·	·	✓

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