NDC-27950-62999

4 vaccinations 5 coded responses 33 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 066 / CT
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: Injection site urticaria — Feeling: Good · Site: Redness, Itching

Free text: Hives at injection site starting 1 week post injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 14, dose 1
MedDRA: Heart rate increased — Feeling: Good

Free text: Yesterday while working out my heart rate suddenly spiked above 210 when normally I would be in the 150-165 range. It resolved with rest. Never happened before. Same workout today had no problems. Unclear if this is at all related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Nasal congestion, Pain, SARS-CoV-2 test negative — Feeling: Fair

Free text: Cough, nasal congestion, body aches, and headache. I was tested for Covid-19 due to the symptoms, but was negative.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-09
Dose 3 — Moderna
2022-02-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous, Emergency care, Uterine dilation and curettage — 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: Symptoms: Miscarriage that resulted in a D&C. · Healthcare visit (other): Ambulatory OR visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
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)
2022-05-13
Call 1 — Left Voicemail
2022-10-12
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-10
Survey response — 12 months, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: Now pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-11
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna
3	2021-11-09	Moderna	No
4	2022-10-12	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-05-12	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Hives at injection site starting 1 week post injection

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Yesterday while working out my heart rate suddenly spiked above 210 when normally I would be in the 150-165 range. It resolved with rest. Never happened before. Same workout today had no problems. Unclear if this is at all related to the vaccine.

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Cough, nasal congestion, body aches, and headache. I was tested for Covid-19 due to the symptoms, but was negative.

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: Miscarriage that resulted in a D&C.

Healthcare visit (other): Ambulatory OR visit

Release 12 — 12 months, dose 3

2022-11-10

Symptoms: Now pregnant

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	Emergency care	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Cough	✓	·	✓
SD	Headache	✓	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Nasal congestion	✓	·	✓
SD	Pain	✓	·	✓
SD	Pregnancy	·	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Uterine dilation and curettage	·	·	✓
SRO	Injection site urticaria	✓	✓	✓

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