VRA-21570-00730

5 vaccinations 18 coded responses 57 check-ins 18 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 201 / VA
Registered: 2021-01-29

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

Registered dependents

ZRY-18548-08460 Child or adolescent in my care · Male · 2022-06-21

TNE-11971-04782 Child or adolescent in my care · Male · 2022-06-21

5AH-29768-80367 Child or adolescent in my care · Male · 2022-12-28

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding, Poor feeding infant — Feeling: Good · Site: Pain · Headache

Free text: I am breastfeeding and noticed that today my sons poop has changed- soft and sticky/ mud consistency , diarrhea like but not fully liquid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good

Free text: I am breast-feeding and Ive noticed a change in my sons poop. It is more diarrhea like a little sticky and like tar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good

Free text: Im breastfeeding and my sons poop is almost tar like. Boarderline diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding, Diarrhoea — Feeling: Good · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches

Free text: I am breastfeeding and my sons poop has changed. Hes having diarrhea like poop

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: I am nursing and my sons poop has been off. He hasnt pooped today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: I am nursing and my son has had diarrhea and seedy poop

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding, Diarrhoea, Exposure via breast milk — Feeling: Good · Muscle or body aches

Free text: I am nursing and my son has been having diarrhea and loose poops

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 7, dose 2
MedDRA: Diarrhoea, Oral herpes — Feeling: Good · Muscle or body aches

Free text: I am nursing and my son has had diarrhea. I have also been getting cold sores, after the first dose and two now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Dose 3 — Moderna
2021-09-11
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-14
Survey response — days 1–6 daily, dose 3
MedDRA: Breast feeding — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Free text: I am breastfeeding and my sons poop changed right after the shot and is still more liquid and slightly darker

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — days 1–6 daily, dose 3
MedDRA: Breast feeding — Feeling: Good · Site: Pain, Itching

Free text: Currently breast-feeding babys poop has changed.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — days 1–6 daily, dose 3
MedDRA: Breast feeding — Feeling: Good · Site: Pain, Itching

Free text: Change in breastfed babys poop

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — days 1–6 daily, dose 3
MedDRA: Breast feeding — Feeling: Good · Site: Pain, Itching

Free text: Im currently breast-feeding my sons poop changed.

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Survey response — day 7, dose 3
MedDRA: Breast feeding — Feeling: Good · Site: Pain, Itching

Free text: Breastfed babys poop just returning to normal

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-16
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-23
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Moderna
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-19
Dose 5 — Moderna
Co-administered: Flu
2022-09-19
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-09-21
Survey response — days 1–6 daily, dose 5
MedDRA: Breast feeding, Unevaluable event — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: I am breastfeeding. My son (12 weeks) has been gassy and his poop is darker, smellier and he seems to be off

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Survey response — days 1–6 daily, dose 5
MedDRA: Breast feeding, Fatigue — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Run down- nursing baby had a change in poop and doesn't seem to feel great, spitting up more, significant poop that is darker and smells bad

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Breast feeding — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Nursing a baby goose poop has changed and he's become more mucousy

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2022-09-25
Survey response — days 1–6 daily, dose 5
MedDRA: Breast feeding, Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Dizziness. Nursing baby still thrown off with his poop, it's darker and he's constipated then when it comes out he's a mess

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — day 7, dose 5
MedDRA: Breast feeding — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Nursing baby constipated

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-20
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-03-05	Moderna
3	2021-09-11	Moderna	No
4	2022-04-21	Moderna	No
5	2022-09-19	Moderna	Flu

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): I am breastfeeding and noticed that today my sons poop has changed- soft and sticky/ mud consistency , diarrhea like but not fully liquid.

2021-02-03

Systemic reaction (other): I am breast-feeding and Ive noticed a change in my sons poop. It is more diarrhea like a little sticky and like tar

2021-02-04

Systemic reaction (other): Im breastfeeding and my sons poop is almost tar like. Boarderline diarrhea

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): I am breastfeeding and my sons poop has changed. Hes having diarrhea like poop

2021-03-09

Systemic reaction (other): I am nursing and my sons poop has been off. He hasnt pooped today.

2021-03-10

Systemic reaction (other): I am nursing and my son has had diarrhea and seedy poop

2021-03-11

Systemic reaction (other): I am nursing and my son has been having diarrhea and loose poops

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): I am nursing and my son has had diarrhea. I have also been getting cold sores, after the first dose and two now.

Release 9 — days 1–6 daily, dose 3

2021-09-14

Systemic reaction (other): I am breastfeeding and my sons poop changed right after the shot and is still more liquid and slightly darker

2021-09-15

Systemic reaction (other): Currently breast-feeding babys poop has changed.

2021-09-16

Systemic reaction (other): Change in breastfed babys poop

2021-09-17

Systemic reaction (other): Im currently breast-feeding my sons poop changed.

Release 9 — day 7, dose 3

2021-09-18

Systemic reaction (other): Breastfed babys poop just returning to normal

Release 12 — days 1–6 daily, dose 5

2022-09-21

Systemic reaction (other): I am breastfeeding. My son (12 weeks) has been gassy and his poop is darker, smellier and he seems to be off

2022-09-22

Systemic reaction (other): Run down- nursing baby had a change in poop and doesn't seem to feel great, spitting up more, significant poop that is darker and smells bad

2022-09-23

Systemic reaction (other): Nursing a baby goose poop has changed and he's become more mucousy

2022-09-25

Systemic reaction (other): Dizziness. Nursing baby still thrown off with his poop, it's darker and he's constipated then when it comes out he's a mess

Release 12 — day 7, dose 5

2022-09-26

Systemic reaction (other): Nursing baby constipated

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
SRO	Breast feeding	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Exposure via breast milk	○	✓	○
SRO	Fatigue	·	·	✓
SRO	Oral herpes	✓	✓	✓
SRO	Poor feeding infant	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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