Y28-12706-71216

3 vaccinations 7 coded responses 41 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 631 / MO
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

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

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Heavy menstrual bleeding, Night sweats, Pain, Rash — Feeling: Good

Free text: Heavy menstrual periodsNight sweatsBody achesRash on arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 21, dose 2
MedDRA: Arthralgia, Dysmenorrhoea, Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities

Free text: Period pain and heavy bleeding outside of normal cycleJoint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Arthritis — Feeling: Good

Free text: Had more extreme side effects from Flu shot that lasted longer in duration Symptoms of arthritis in hands and feet

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Dose 3 — Moderna
2021-11-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — day 28, dose 3
MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Vaccine positive rechallenge — Feeling: Fair

Free text: Heavy early menstrual period with lots of clotting. Unusual for me. This also happened after my 2nd moderna vaccine dose

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-30
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a cold about eight weeks ago that lasted for seven days. I never tested positive for COVID though

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Survey response — 12 months, dose 3
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with hypertension

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2021-11-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-29	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Heavy menstrual periodsNight sweatsBody achesRash on arm

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Sweating

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Period pain and heavy bleeding outside of normal cycleJoint pain

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Had more extreme side effects from Flu shot that lasted longer in duration Symptoms of arthritis in hands and feet

Release 10 — day 28, dose 3

2021-12-27

Symptoms: Heavy early menstrual period with lots of clotting. Unusual for me. This also happened after my 2nd moderna vaccine dose

Release 11 — 6 months, dose 3

2022-05-30

Symptoms: I had a cold about eight weeks ago that lasted for seven days. I never tested positive for COVID though

Release 12 — 12 months, dose 3

2022-11-29

Symptoms: Diagnosed with hypertension

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	Abnormal menstrual clots	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓

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