QKX-30623-58278

3 vaccinations 8 coded responses 37 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 060 / CT
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Headache

Free text: Small bruise at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Peripheral coldness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog, my toes and fingers were freezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discolouration — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Injection site is white

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Medical counselling, Migraine, Nasopharyngitis, Pain in extremity, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: A few mild cold-like illnesses, a few migraines, arm soreness after my flu shot · Healthcare visit (other): Drive through covid tests (negative)

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-05
Dose 3 — Moderna
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-08
Call 1 — Left Voicemail
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Slight cold but tested negative for covid

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-07
Survey response — 12 months, dose 3
MedDRA: Animal bite, Basal cell carcinoma, Biochemical pregnancy, COVID-19, Nasopharyngitis, Skin neoplasm excision — 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, Emergency room or emergency department visit

Free text: A few mild colds over the past year, two chemical pregnancies, a basal cell carcinoma got diagnosed in April and then surgically removed in May, I had covid in July, and I got rabies vaccines in August/September after a kitten bit me

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Report sent to call center — 12 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 · Emergency room or emergency department visit · 1 call case(s)
2022-11-08
Call 2 — Left Voicemail
2022-11-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna
3	2021-11-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-02	Unsuccessful
2022-11-07	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Brain fog

2021-04-09

Systemic reaction (other): Small bruise at the injection site

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): Cough

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Brain fog, my toes and fingers were freezing

2021-05-06

Systemic reaction (other): Injection site is white

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: A few mild cold-like illnesses, a few migraines, arm soreness after my flu shot

Healthcare visit (other): Drive through covid tests (negative)

Release 10 — day 42, dose 3

2021-12-17

Symptoms: Slight cold but tested negative for covid

Release 12 — 12 months, dose 3

2022-11-07

Symptoms: A few mild colds over the past year, two chemical pregnancies, a basal cell carcinoma got diagnosed in April and then surgically removed in May, I had covid in July, and I got rabies vaccines in August/September after a kitten bit me

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	Medical counselling	·	·	✓
HCVO	SARS-CoV-2 test negative	·	·	✓
SD	Animal bite	·	·	✓
SD	Basal cell carcinoma	·	·	✓
SD	Biochemical pregnancy	·	·	✓
SD	COVID-19	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Skin neoplasm excision	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓

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