YJP-21065-69572

3 vaccinations 6 coded responses 34 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 786 / TX
Registered: 2021-02-08

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site induration, Injection site mass — Feeling: Good · Site: Pain, Redness

Free text: Small hard lump under the skin where the injection was.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site mass — Feeling: Good · Site: Redness, Itching

Free text: The small lump under the skin at the injection site is still there but had gotten smaller

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

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

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good

Free text: The injection site has gotten a little more red and its itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 28, dose 1
MedDRA: Pre-eclampsia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I gave birth to my baby on (b)(6). And unfortunately I have been diagnosed with postpartum preeclampsia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Dose 2 — Moderna
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Headache, Pyrexia — Feeling: Good

Free text: The day of the vaccine I had a headache and the day after the vaccine I had chills, fever & fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Call 1 — Left Voicemail
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-27
Survey response — 12 months, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair

Free text: Congestion & cough

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-11	Moderna
3	2021-10-25	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-08	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Small hard lump under the skin where the injection was.

2021-02-10

Systemic reaction (other): The small lump under the skin at the injection site is still there but had gotten smaller

Release 4 — day 14, dose 1

2021-02-22

Symptoms: The injection site has gotten a little more red and its itchy

Release 5 — day 28, dose 1

2021-03-08

Symptoms: I gave birth to my baby on (b)(6). And unfortunately I have been diagnosed with postpartum preeclampsia.

redacted (b)(6)

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): The day of the vaccine I had a headache and the day after the vaccine I had chills, fever & fatigue.

Release 12 — 12 months, dose 3

2022-10-27

Symptoms: Congestion & cough

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	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pre-eclampsia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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