N9V-30516-58923

3 vaccinations 20 coded responses 34 check-ins 20 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 325 / FL
Registered: 2021-02-04

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

2021-02-03
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea, Pain, Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Nausea — Feeling: Good · Headache, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-12
Health check-in — 7 day, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-19
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-02-24
Survey response — 21 day, dose 1
MedDRA: Cough, Nasopharyngitis, Neck pain, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-24
Report sent to call center — 21 day, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Dose 2 — Moderna
2021-03-03
Survey response — 0 day, dose 2
MedDRA: Chills, Hot flush — Feeling: Poor · Site: Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Palpitations — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site swelling, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — 3 month, dose 2
MedDRA: Unevaluable event — Feeling: Poor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-08-31
Call 1 — Left Voicemail
2021-09-01
Survey response — 6 month, dose 2
MedDRA: Office visit, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-01
Report sent to call center — 6 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-18
Dose 3 — Moderna
2021-12-18
Survey response — 0 day, dose 3
MedDRA: Pregnancy — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Pregnancy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Myalgia, Pregnancy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-12-21
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Pregnancy, Vertigo — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-12-25
Survey response — 7 day, dose 3
MedDRA: Pregnancy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-01-03
Health check-in — 14 day, dose 3
Feeling: Fair

Adult check-in
2022-01-10
Health check-in — 21 day, dose 3
Feeling: Fair

Adult check-in
2022-01-17
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2022-01-22
Survey response — 35 day, dose 3
MedDRA: Laboratory test abnormal, Pregnancy — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-06-18
Survey response — 6 month, dose 3
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-12-18	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-24	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-01	Successful 2021-09-03	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 3

Systemic reaction (other): Maybe a little warm sometimes no fever though and just a little soreness in my arm where I had the shot.

Systemic reaction (other): I felt a bit of body soreness and a moment of nausea today but that I think is more my period that started the day before the shot probably.

Systemic reaction (other): Felt a bit if nausea and head aches today

Systemic reaction (other): The fatigue is probably just that I'm the mother to a 15 month old with a slight fever today.

Release 4

Symptoms: I'm having some congestion and some coughing. Based on doctor's assessments, or seems like a cold my daughter has and gave to all our household. The nasal drip and congestion seems to be causing the coughing. Neck pain treated as well because of work cut off by CDC

Release 5

Systemic reaction (other): Hot flashes then chills then repeat

Systemic reaction (other): Yesterday (day of shot) I had a racing heart. It's been better today. Today and yesterday by arm hurts so much I can barely lift or move it much.

Systemic reaction (other): Some pain with moving my arm injected and swelling in the area around where injection was given.

Release 8

Symptoms: I've been trying to get pregnant since a month after I received the vaccine. My first pregnancy happened on the 2nd cycle even though it did end in a miscarriage. My 2nd pregnancy happened on my 2nd cycle. I'm on my 4th cycle trying unsuccessfully no cut off by CDC

Release 9

Symptoms: I'm finally pregnant after 6 months of trying&about 6 month post vaccine. Also, someone, (b)(6), left me a voicemail claiming to be form Vsafe with CDC. She said to call (b)(6) 8-8 est bakers.hhs.gov came up as a potential scam on my phone.

Healthcare visit (other): Had just had a consult with a a fertility when we found out I'm pregnant

redacted (b)(6)

Release 10

Systemic reaction (other): I am 23.5 weeks pregnant about. Not sure how to get into the pregnancy vsafe registry system.

Systemic reaction (other): Headache but some of these might be because I am pregnant

Systemic reaction (other): I am almost 24 weeks pregnant so some of these symptoms maybe because of that. I'm sore more with muscle aches than usual though. They are more bothersome.

Systemic reaction (other): I am almost 24 week pregnant not sure which is the vaccine, that, or a mixture..

Systemic reaction (other): I am about 24 weeks though so some of these symptoms may be because of this, in part, or not at all.

Systemic reaction (other): Some light headed needs, spins, and possible nausea spell that passed. I am also about 24 weeks pregnant.

Systemic reaction (other): I am also about 24 weeks pregnant. Some of these symptom s maybe be because of that, a mixture, or the vaccine. I am unsure.

Systemic reaction (other): I am also about 24 weeks pregnant. Some symptoms maybe be because of that, a mixture, or not at all. Unsure.

Release 11

Symptoms: Rapid test has a positive faint pink line. Waiting on PCR test to confirm. My 2 year olds was negative waiting on her PCR test to confirm. I am about 28 week pregnant double vaccinated with Moderna and boosted with Moderna. Been masking and careful. cut off by CDC

Release 12

Symptoms: Covid in January 2022 positive tests

Free-text releases are not linked to a specific 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	Office visit	✓	·	✓
HCVO	Pregnancy	✓	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pregnancy	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pregnancy	·	·	✓
SRO	Unevaluable event	○	✓	✓
SRO	Vertigo	·	·	✓

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