Y88-47313-15493

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 152 / PA
Registered: 2021-04-09

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

Timeline

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

2021-04-08
Dose 1 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pregnancy — 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

Free text: Im pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

no matching call case
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose since yesterday (it was not in the options so I havent checked it). Pain in the throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

no matching call case
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Runny nose, cold like symptoms, Cough and sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

no matching call case
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dyspnoea, Emergency care, Nasal congestion, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Runny and congested nose, hard time to breath due to nose congestion and cough. · Healthcare visit (other): Was kept 2h30 in an isolated room at hospital, was plugged to pulse and pulse oxygen monitors, BP monitor and heart beats monitor for the baby. They also did a COVID test that came back negative so staff concluded all of these cold like symptoms were just reaction to the vaccine. I was given an oxygen finger monitor to take home with me in case I experience shortness of breath in the next few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — days 1–6 daily, dose 1
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)
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dyspnoea, Nasal congestion, Rhinorrhoea — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Runny and very congested nose resulting in breathing difficulty, coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 1
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)
2021-04-13
Call 1 — Left Voicemail
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Bronchitis, Cough, Dyspnoea, Herpes virus infection, Immune system disorder, Immunisation stress-related response, Nasal congestion, Nasal herpes, Productive cough — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe nose congestion with difficulty breathing. Cough. Bronchitis and expectorations. Herpes sore appearance in nose (usually appears when my immune system is under stress)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

no matching call case
2021-04-14
Call successful
Does not wish to fill out VAERS report
2021-04-16
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-17
Survey response — day 7, dose 1
MedDRA: Cough, Nasopharyngitis, Pain, Productive cough — Feeling: Fair · Fatigue or tiredness

Free text: Cough and expectorations. Sore cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-10
Dose 2 — Moderna
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-10	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-12	Unsuccessful
2021-04-13	Successful 2021-04-14	Does not wish to fill out VAERS report

4 report(s) with no call case — see the timeline.

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Im pregnant

2021-04-10

Systemic reaction (other): Runny nose since yesterday (it was not in the options so I havent checked it). Pain in the throat

2021-04-11

Systemic reaction (other): Runny nose, cold like symptoms, Cough and sneezing

2021-04-12

Systemic reaction (other): Runny and congested nose, hard time to breath due to nose congestion and cough.

Healthcare visit (other): Was kept 2h30 in an isolated room at hospital, was plugged to pulse and pulse oxygen monitors, BP monitor and heart beats monitor for the baby. They also did a COVID test that came back negative so staff concluded all of these cold like symptoms were just reaction to the vaccine. I was given an oxygen finger monitor to take home with me in case I experience shortness of breath in the next few days.

2021-04-13

Systemic reaction (other): Runny and very congested nose resulting in breathing difficulty, coughing

2021-04-14

Systemic reaction (other): Severe nose congestion with difficulty breathing. Cough. Bronchitis and expectorations. Herpes sore appearance in nose (usually appears when my immune system is under stress)

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Cough and expectorations. Sore cold

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	Dyspnoea	✓	✓	✓
HCVO	Emergency care	✓	✓	✓
HCVO	Nasopharyngitis	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SRO	Bronchitis	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Herpes virus infection	○	✓	○
SRO	Immune system disorder	○	✓	○
SRO	Immunisation stress-related response	○	✓	○
SRO	Nasal congestion	✓	✓	✓
SRO	Nasal herpes	✓	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pregnancy	✓	✓	✓
SRO	Productive cough	✓	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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