RHL-24400-76306

5 vaccinations 7 coded responses 43 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 430 / OH
Registered: 2020-12-30

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

GMK-31297-99621 Child or adolescent in my care · Male · 2022-06-27

XAS-29707-27181 Child or adolescent in my care · Female · 2022-06-27

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-21
Survey response — day 21, dose 1
MedDRA: Haemorrhage in pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Spotting in early pregnancy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — day 28, dose 1
MedDRA: Hyperemesis gravidarum, Pre-existing disease, Pregnancy, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hyperemesis Gravidarum of Pregnancy (8 weeks gestation). Also had this with my first pregnancy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 28, dose 1
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)
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, 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)
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Insomnia — Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Heartburn, insomnia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Call 1 — Left Voicemail
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Dose 3 — Moderna
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-15
Survey response — day 7, dose 3
MedDRA: Axillary pain — Feeling: Good

Free text: Forgot to report that 2-3 days after receiving the booster, I had mild soreness in my left armpit. Assuming it was a swollen lymph node. Has since resolved. No hard lumps or nodules felt.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Survey response — day 42, dose 3
MedDRA: Arthralgia, Headache, Musculoskeletal pain, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Shoulder/scapula pain with headache. Not new, worsening. · Healthcare visit (other): PT

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-21
Call 2 — Left Voicemail
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Dose 4 — Moderna
2022-06-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-13
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-12-02
Survey response — 6 months, dose 4
MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chemical pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-05
Call 1 — Left Voicemail
2022-12-05
Call 2 — Left Voicemail
2022-12-05
Call 1 — Left Voicemail
2022-12-05
Call 1 — Left Voicemail
2022-12-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-28	Moderna
3	2021-11-06	Moderna	No
4	2022-06-03	Moderna	No
5	2022-09-13	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-01-21	Unsuccessful
2021-01-27	Unsuccessful
2021-01-29	Unsuccessful
2021-12-20	Unsuccessful
2022-12-02	Unsuccessful

Free text

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Spotting in early pregnancy.

Release 2 — day 28, dose 1

2021-01-27

Symptoms: Hyperemesis Gravidarum of Pregnancy (8 weeks gestation). Also had this with my first pregnancy.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Insomnia

2021-01-30

Systemic reaction (other): Heartburn, insomnia.

Release 10 — day 7, dose 3

2021-11-15

Systemic reaction (other): Forgot to report that 2-3 days after receiving the booster, I had mild soreness in my left armpit. Assuming it was a swollen lymph node. Has since resolved. No hard lumps or nodules felt.

Release 10 — day 42, dose 3

2021-12-20

Symptoms: Shoulder/scapula pain with headache. Not new, worsening.

Healthcare visit (other): PT

Release 12 — 6 months, dose 4

2022-12-02

Symptoms: Chemical pregnancy

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	Physiotherapy	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Arthralgia	·	·	✓
SD	Haemorrhage in pregnancy	✓	✓	✓
SD	Headache	·	·	✓
SD	Hyperemesis gravidarum	✓	·	✓
SD	Intermenstrual bleeding	○	○	○
SD	Musculoskeletal pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pregnancy	✓	✓	✓
SD	Vomiting	○	✓	○
SRO	Axillary pain	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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