L4W-11981-10311

4 vaccinations 8 coded responses 41 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 277 / NC
Registered: 2021-03-09

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

Timeline

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Nausea

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Sensitive skin — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Skin sensitive to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Pregnancy, Vaginal haemorrhage — Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to work, 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: Possible pregnancy miscarriage -- pelvic cramping and heavy vaginal bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Abortion spontaneous, Pelvic pain, Vaginal haemorrhage — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Pregnancy miscarriage -- pelvic pain and vaginal bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Abortion spontaneous, Pelvic pain, Vaginal haemorrhage — Feeling: Fair · Fatigue or tiredness

Free text: Miscarriage: pelvic pain and vaginal bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Abortion spontaneous — Feeling: Fair

Free text: Miscarriage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 2
MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Miscarriage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Call 1 — Left Voicemail
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Dose 3 — Pfizer-BioNTech
2022-04-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-06
Dose 4 — Pfizer-BioNTech
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Nausea

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

Adult check-in
2022-11-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

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

Adult check-in
2022-11-12
Survey response — days 1–6 daily, dose 4
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-05
Survey response — 3 months, dose 4
MedDRA: Fatigue, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-12-15	Pfizer-BioNTech	No
4	2022-11-06	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-09	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Skin sensitive to touch

2021-04-09

Systemic reaction (other): Possible pregnancy miscarriage -- pelvic cramping and heavy vaginal bleeding

2021-04-10

Systemic reaction (other): Pregnancy miscarriage -- pelvic pain and vaginal bleeding

2021-04-11

Systemic reaction (other): Miscarriage: pelvic pain and vaginal bleeding

2021-04-12

Systemic reaction (other): Miscarriage

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Miscarriage

Release 12 — days 1–6 daily, dose 4

2022-11-12

Systemic reaction (other): Pregnancy

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	Fatigue	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abortion spontaneous	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Pregnancy	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Vaginal haemorrhage	✓	✓	✓

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