MWK-19924-46678

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 301 / GA
Registered: 2021-04-21

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

2021-04-21
Registered in v-safe
2021-04-21
Dose 1 — Moderna
2021-04-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-05
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to work

Free text: Severe Stomach cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 21, dose 1
MedDRA: Headache, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: UTI, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-06-02
Dose 2 — Moderna
2021-06-02
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-09
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-07
Survey response — day 35, dose 2
MedDRA: Feeling cold, Gastrointestinal disorder — Feeling: Poor

Free text: Feelings of a cold and digestive issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Survey response — 6 months, dose 2
MedDRA: Sinusitis — 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 · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-24
Dose 3 — Moderna
2022-06-24
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous, COVID-19 — 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 · Outpatient clinic or urgent care clinic visit

Free text: COVID January 2022 Miscarriage March 29, 2022

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-06-02	Moderna
3	2021-12-24	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-12	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-01	Successful 2021-12-02	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-24	Successful 2022-06-27	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — day 14, dose 1

2021-05-05

Symptoms: Severe Stomach cramps

Release 8 — day 21, dose 1

2021-05-12

Symptoms: UTI, headaches

Release 9 — day 35, dose 2

2021-07-07

Symptoms: Feelings of a cold and digestive issues

Release 10 — 6 months, dose 2

2021-12-01

Symptoms: Sinus infection

Release 12 — 6 months, dose 3

2022-06-24

Symptoms: COVID January 2022 Miscarriage March 29, 2022

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 upper	✓	✓	✓
SD	Abortion spontaneous	·	·	✓
SD	COVID-19	·	·	✓
SD	Feeling cold	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Urinary tract infection	✓	✓	✓

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