KLW-17806-59737

3 vaccinations 9 coded responses 39 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 800 / CO
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-20
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Brief nausea and two single instances of diarrhea. Could have been unrelated to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Headache, Pregnancy — 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, Emergency room or emergency department visit

Free text: Headache for one day. Nausea due to pregnancy. Abdominal pain (probably due to pregnancy)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 3 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)
2021-08-09
Call 1 — Left Voicemail
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Hyperemesis gravidarum, Pre-existing disease — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Hyperemesis gravidarum with pregnancy (expected as I've had it with previous pregnancies)

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-04
Dose 3 — Moderna
2021-11-04
Survey response — day 0, dose 3
MedDRA: Pregnancy — Feeling: Good · Site: Pain

Free text: I have some mild fatigue and nausea due to pregnancy, but have actually felt better today than normal

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Nausea and fatigue are due to pregnancy and I have not experienced any symptoms beyond my daily normal today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Good · Nausea

Free text: Nausea pregnancy related and not more than my daily normal

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 7, dose 3
MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Nausea and fatigue due to pregnancy. Not any worse than daily normal

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 42, dose 3
MedDRA: Dysphagia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Trouble swallowing (feels like strep). I don't think there is any relationship to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-20
Call 1 — Could Not Reach Participant
2021-12-23
Call 2 — Could Not Reach Participant
2022-02-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-06
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna
3	2021-11-04	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Brief nausea and two single instances of diarrhea. Could have been unrelated to vaccine.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Dizziness

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Headache for one day. Nausea due to pregnancy. Abdominal pain (probably due to pregnancy)

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Hyperemesis gravidarum with pregnancy (expected as I've had it with previous pregnancies)

Release 10 — day 0, dose 3

2021-11-04

Systemic reaction (other): I have some mild fatigue and nausea due to pregnancy, but have actually felt better today than normal

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Nausea and fatigue are due to pregnancy and I have not experienced any symptoms beyond my daily normal today.

2021-11-10

Systemic reaction (other): Nausea pregnancy related and not more than my daily normal

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Nausea and fatigue due to pregnancy. Not any worse than daily normal

Release 10 — day 42, dose 3

2021-12-17

Symptoms: Trouble swallowing (feels like strep). I don't think there is any relationship to vaccine.

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	Abdominal pain	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysphagia	·	·	✓
SD	Headache	✓	·	✓
SD	Hyperemesis gravidarum	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Pregnancy	·	·	✓

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