XB3-13922-98180

3 vaccinations 7 coded responses 17 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 352 / AL
Registered: 2021-02-04

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

2021-01-27
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-10
Survey response — day 14, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Itchy arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 21, dose 1
MedDRA: Pruritus, Swelling face, Throat irritation — Feeling: Fair

Free text: Face swelling, itchy throat, face itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itchy arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Left leg aches similar to blood clots Ive had before · Healthcare visit (other): Have not gotten in yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Blood iron decreased, Dysmenorrhoea, Haemoglobin decreased, Heavy menstrual bleeding, Medical counselling, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Ive had my period since about 3 weeks post vaccination. Worst cramps and pain of my life, low iron and hemoglobin. My doctor is considering a hysterectomy. I cant take birth control because I have a history of pulmonary embolism. · Healthcare visit (other): Many in patent visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
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)
2021-08-12
Dose 3 — Moderna
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Call 2 — Left Voicemail
2022-02-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-12
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
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 · 1 call case(s)
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-08-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Unsuccessful
2021-05-28	Unsuccessful
2022-08-12	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-02-10

Symptoms: Itchy arm

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Face swelling, itchy throat, face itching

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Sore throat

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Itchy arm

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Left leg aches similar to blood clots Ive had before

Healthcare visit (other): Have not gotten in yet

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Ive had my period since about 3 weeks post vaccination. Worst cramps and pain of my life, low iron and hemoglobin. My doctor is considering a hysterectomy. I cant take birth control because I have a history of pulmonary embolism.

Healthcare visit (other): Many in patent visits

Release 12 — 12 months, dose 3

2022-08-12

Symptoms: Covid

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	Unevaluable event	✓	✓	✓
SD	Blood iron decreased	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Haemoglobin decreased	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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