MES-24436-62047

3 vaccinations 5 coded responses 32 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 925 / CA
Registered: 2021-08-18

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-08-16
Dose 1 — Moderna
2021-08-18
Registered in v-safe
2021-08-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Headache

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · None

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-09-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-13
Survey response — day 28, dose 1
MedDRA: Abortion spontaneous, Haemorrhage — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Miscarriage.Hemorrhage noted 8/20. Ceased on 9/7. Miscarriage noted 9/7.

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Report sent to call center — day 28, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call successful
Participant prefers to complete VAERS report online
2021-09-20
Health check-in — day 35, dose 1
Feeling: Poor

Adult check-in
2021-09-22
Dose 2 — Moderna
2021-09-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-03-25
Survey response — 6 months, dose 2
MedDRA: COVID-19, Diarrhoea, Nausea — 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

Free text: Loose stools, nausea. COVID positive 1/2022.

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
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 · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-04-15
Dose 3 — Moderna
2022-04-15
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-15
Survey response — day 28, dose 3
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-14
Survey response — 6 months, dose 3
MedDRA: Arrhythmia, Asthma, Bursitis, Pre-existing disease — 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

Free text: Cardiac arrhythmia Bursitis Asthma exacerbation

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
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 · 1 call case(s)
2022-10-17
Call 3 — Left Voicemail
2022-10-17
Call 2 — Left Voicemail
2023-04-17
Survey response — 12 months, dose 3
MedDRA: Hypertension, Inflammation, Placental infarction, Placental insufficiency, Postpartum state, Pre-eclampsia, Premature delivery — 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 · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 12 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-18
Call 2 — Left Voicemail
2023-04-18
Call 1 — Left Voicemail
2023-04-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-16	Moderna	No
2	2021-09-22	Moderna	No
3	2022-04-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-13	Successful 2021-09-14	Participant prefers to complete VAERS report online
2022-03-25	Unsuccessful
2022-10-14	Unsuccessful
2023-04-17	Unsuccessful

Free text

Release 9 — day 28, dose 1

2021-09-13

Symptoms: Miscarriage.Hemorrhage noted 8/20. Ceased on 9/7. Miscarriage noted 9/7.

Release 11 — 6 months, dose 2

2022-03-25

Symptoms: Loose stools, nausea. COVID positive 1/2022.

Release 11 — day 28, dose 3

2022-05-15

Symptoms: Dizziness

Release 12 — 6 months, dose 3

2022-10-14

Symptoms: Cardiac arrhythmia Bursitis Asthma exacerbation

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	Arrhythmia	·	·	✓
SD	Asthma	·	·	✓
SD	Bursitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Haemorrhage	·	·	✓
SD	Hypertension	·	·	✓
SD	Inflammation	·	·	✓
SD	Nausea	·	·	✓
SD	Placental infarction	·	·	✓
SD	Placental insufficiency	·	·	✓
SD	Postpartum state	·	·	✓
SD	Pre-eclampsia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Premature delivery	·	·	✓

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