Y92-28248-49805

3 vaccinations 4 coded responses 35 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 114 / NY
Registered: 2021-01-25

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-18
Dose 1 — Moderna
2021-01-25
Registered in v-safe
2021-01-25
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Site: Itching

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-02-21
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 · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-28
Dose 3 — Moderna
2021-12-28
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — day 35, dose 3
MedDRA: Dysmenorrhoea, Menstrual disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Change is menstrual flow and pain associated.

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-28
Survey response — 6 months, dose 3
MedDRA: Heavy menstrual bleeding — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Very long menstrual period ( 12-20 days) that are heavy.

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-29
Call 1 — Left Voicemail
2022-06-29
Call successful
Does not wish to fill out VAERS report
2022-12-28
Survey response — 12 months, dose 3
MedDRA: Cough, Nasopharyngitis, Sneezing — Feeling: Fair · 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: Very bad cold with hacking cough and sneezing that lasted over 10 days

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
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)
2022-12-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-20	Moderna
3	2021-12-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-06-28	Successful 2022-06-29	Does not wish to fill out VAERS report
2022-12-28	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-25

Systemic reaction (other): Runny nose

Release 11 — day 35, dose 3

2022-02-01

Symptoms: Change is menstrual flow and pain associated.

Release 12 — 6 months, dose 3

2022-06-28

Symptoms: Very long menstrual period ( 12-20 days) that are heavy.

Release 12 — 12 months, dose 3

2022-12-28

Symptoms: Very bad cold with hacking cough and sneezing that lasted over 10 days

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	Cough	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Sneezing	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓

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