MK2-76148-74021

4 vaccinations 6 coded responses 42 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 549 / WI
Registered: 2021-03-26

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

Registered dependents

NQ9-32724-85418 Child or adolescent in my care · Female · 2022-06-21

F4M-12926-85137 Child or adolescent in my care · Male · 2022-06-21

Timeline

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

2021-03-02
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Headache, Muscle spasms — Feeling: Fair

Free text: Headache, cramps - on my period so unlikely to be related to vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: Skipped my period in May. Multiple negative pregnancy tests. Did get my period in June. (about 3.5 weeks late overall)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-30
Call 1 — Left Voicemail
2021-10-24
Dose 3 — Moderna
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Had likely a cold for about 2 weeks. 2 negative rapid at home covid tests shortly after onset and repeated 3 days later.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — 6 months, dose 3
MedDRA: Delivery, Hospitalisation — 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

Free text: Symptoms: Delivered healthy baby at 39 weeks gestation. · Healthcare visit (other): Hospitalization for delivery

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
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

1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-10
Dose 4 — Pfizer-BioNTech
2022-09-10
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-09-17
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-09-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-22
Survey response — day 42, dose 4
MedDRA: Abdominal distension, Flatulence — Feeling: Fair

Free text: Gastrointestinal - flatulence, bloating

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-12
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-10-24	Moderna	No
4	2022-09-10	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Headache, cramps - on my period so unlikely to be related to vaccination

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Skipped my period in May. Multiple negative pregnancy tests. Did get my period in June. (about 3.5 weeks late overall)

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Pregnancy

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: Had likely a cold for about 2 weeks. 2 negative rapid at home covid tests shortly after onset and repeated 3 days later.

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: Delivered healthy baby at 39 weeks gestation.

Healthcare visit (other): Hospitalization for delivery

Release 12 — day 42, dose 4

2022-10-22

Symptoms: Gastrointestinal - flatulence, bloating

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
HCVO	Delivery	·	·	✓
HCVO	Hospitalisation	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Delivery	·	·	✓
SD	Flatulence	·	·	✓
SD	Headache	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pregnancy	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓

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