UL2-14314-28425

3 vaccinations 8 coded responses 28 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 983 / WA
Registered: 2021-08-10

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

Registered dependents

YJ3-20696-99769 Child or adolescent in my care · Male · 2022-07-13

N25-71750-87158 Child or adolescent in my care · Male · 2022-07-13

CZC-11455-45096 Child or adolescent in my care · Female · 2022-07-13

Timeline

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

2021-08-10
Registered in v-safe
2021-08-10
Dose 1 — Moderna
2021-08-10
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-08-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-08-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-08-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-08-17
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-10
Dose 2 — Moderna
2021-09-10
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-09-14
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperacusis — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Free text: Auditory sensitivity

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperacusis — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Auditory sensitivity

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperacusis — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Auditory sensitivity

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — day 7, dose 2
MedDRA: Hyperacusis — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Auditory sensitive

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-10-08
Survey response — day 28, dose 2
MedDRA: Pregnancy, Premature separation of placenta — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Pregnant- Placenta abruption · Healthcare visit (other): Pregnant- placenta abruption @ 31.6 weeks

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-10-11
Call successful
Participant prefers to complete VAERS report online
2021-10-15
Survey response — day 35, dose 2
MedDRA: Delivery — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Gave birth

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-10-20
Call 1 — Left Voicemail
2021-10-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-12
Survey response — 3 months, dose 2
MedDRA: Eye infection, Lymphadenopathy, Oropharyngeal pain, Pyrexia — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fever, eye infection, sore throat, swollen glands

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-14
Call 1 — Left Voicemail
2022-03-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-29
Dose 3 — Moderna
2022-06-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-07-05
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion and sore throat

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-10	Moderna	No
2	2021-09-10	Moderna	No
3	2022-05-29	Moderna	No

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-14

Systemic reaction (other): Auditory sensitivity

2021-09-15

Systemic reaction (other): Auditory sensitivity

2021-09-16

Systemic reaction (other): Auditory sensitivity

Release 9 — day 7, dose 2

2021-09-17

Systemic reaction (other): Auditory sensitive

Release 10 — day 28, dose 2

2021-10-08

Symptoms: Pregnant- Placenta abruption

Healthcare visit (other): Pregnant- placenta abruption @ 31.6 weeks

Release 10 — day 35, dose 2

2021-10-15

Symptoms: Gave birth

Release 10 — 3 months, dose 2

2021-12-12

Symptoms: Fever, eye infection, sore throat, swollen glands

Release 12 — day 35, dose 3

2022-07-05

Symptoms: Congestion and sore throat

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	Pregnancy	·	·	✓
HCVO	Premature separation of placenta	·	·	✓
SD	Delivery	·	·	✓
SD	Eye infection	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	·	·	✓
SD	Premature separation of placenta	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Hyperacusis	·	·	✓

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