XM8-22131-68987

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 030 / NH
Registered: 2021-01-09

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

2021-01-07
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I'm currently breastfeeding (my son is 16 weeks old) he was extremely exhausted yesterday (as was I) but today is doing better. He hasn't had a fever at all either.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good

Free text: I'm currently breastfeeding (my son is 16weeks old) he is not having any adverse reactions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good

Free text: No symptoms. I'm breastfeeding and my 16week old son has shown no adverse reactions either.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
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 · Be unable to work

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Maternal exposure during breast feeding — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: I'm currently breastfeeding (my son is 5months old) and he's been extremely fatigued today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Maternal exposure during breast feeding — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I'm breastfeeding my son is almost 5 months old and he's been slightly more fatigued than usual with some spitting up which is not normal for him

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding, Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: I'm breastfeeding.. My 5month old son has been fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Nasal congestion, Pre-existing disease, Respiratory disorder, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work

Free text: Allergy related upper respiratory problems and Nasal congestion. Tested for covid, negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Moderna
2022-03-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-11
Survey response — 6 months, dose 3
MedDRA: COVID-19, Dyspnoea — 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 · Telehealth, virtual health, or email health consultation

Free text: Covid-19, severe difficultly breathing needing steroids to relieve

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail
2022-12-13
Survey response — 12 months, dose 3
MedDRA: Nasopharyngitis, Pregnancy — Feeling: Poor

Free text: I'm currently pregnant. I also have a head cold at the moment.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-11	Moderna
3	2021-12-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2022-06-11	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): I'm currently breastfeeding (my son is 16 weeks old) he was extremely exhausted yesterday (as was I) but today is doing better. He hasn't had a fever at all either.

2021-01-11

Systemic reaction (other): I'm currently breastfeeding (my son is 16weeks old) he is not having any adverse reactions.

2021-01-12

Systemic reaction (other): No symptoms. I'm breastfeeding and my 16week old son has shown no adverse reactions either.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): I'm currently breastfeeding (my son is 5months old) and he's been extremely fatigued today.

2021-02-14

Systemic reaction (other): I'm breastfeeding my son is almost 5 months old and he's been slightly more fatigued than usual with some spitting up which is not normal for him

2021-02-15

Systemic reaction (other): I'm breastfeeding.. My 5month old son has been fatigued

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Allergy related upper respiratory problems and Nasal congestion. Tested for covid, negative.

Release 12 — 6 months, dose 3

2022-06-11

Symptoms: Covid-19, severe difficultly breathing needing steroids to relieve

Release 12 — 12 months, dose 3

2022-12-13

Symptoms: I'm currently pregnant. I also have a head cold at the moment.

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
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Breast feeding	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Maternal exposure during breast feeding	✓	✓	✓

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