PH3-45290-85915

2 vaccinations 13 coded responses 27 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 494 / MI
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Neck ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Pain in jaw — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Stiff neck, achey jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasal congestion — Feeling: Good

Free text: Stuffy nose, mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Cough, Nasal congestion — Feeling: Good · Headache

Free text: Stuffy nose, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 28, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding, Menstrual disorder, Menstruation irregular — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Started period 4 days early

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Cough — Feeling: Fair

Free text: Heavy lung on right side. Mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 21, dose 2
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 35, dose 2
MedDRA: Headache, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache and body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Dehydration, Diarrhoea, Pyrexia, Vomiting — Feeling: Good · Be unable to work, 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: Fever for 48 hours, diarrhea, vomitting, dehydration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Good · 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: Miscarriage

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2022-02-20
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Diarrhoea, Migraine, 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Sinus Infections, diarrhea lasted for 2 weeks, migrains, miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 12 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)
2022-02-21
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-22	Successful	Does not wish to fill out VAERS report
2021-08-21	Successful	Does not wish to fill out VAERS report
2022-02-20	Successful 2022-02-21	Does not wish to fill out VAERS report

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Neck ache

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Stiff neck, achey jaw

2021-01-24

Systemic reaction (other): Coughing

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Stuffy nose, mild cough

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Stuffy nose, cough

Release 4 — day 28, dose 1

2021-02-19

Symptoms: Headache

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Started period 4 days early

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Heavy lung on right side. Mild cough

Release 5 — day 21, dose 2

2021-03-13

Symptoms: Diarrhea

Release 6 — day 35, dose 2

2021-03-27

Symptoms: Headache and body aches

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Fever for 48 hours, diarrhea, vomitting, dehydration

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Miscarriage

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: Sinus Infections, diarrhea lasted for 2 weeks, migrains, miscarriage

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	Chest discomfort	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	○
SRO	Menstrual disorder	✓	✓	○
SRO	Menstruation irregular	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓

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