YT4-12001-82352

3 vaccinations 8 coded responses 24 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 950 / CA
Registered: 2021-02-20

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-19
Dose 1 — Moderna
2021-02-20
Registered in v-safe
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Fair · Site: Itching · Fatigue or tiredness, Abdominal pain

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Depression — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Anxiety, depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Depression — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Conscription, Anxiety, and depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-03-05
Survey response — day 14, dose 1
MedDRA: Abdominal distension, Abdominal pain upper, Abnormal faeces, Anxiety, Depression, Flatulence — Feeling: Fair

Free text: Increased flatulence, bloating, stomach pain, and irregular stool (constipation when stool was previously consistent and regular). Depression and anxiety increased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Moderna
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Uterine pain — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Uterine pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2022-03-18
Survey response — 12 months, dose 2
MedDRA: Migraine, Ovarian cyst ruptured — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Migraines, ovarian cyst rupture

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Report sent to call center — 12 months, dose 2
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-22
Call 1 — Left Voicemail
2022-05-09
Survey response — 6 months, dose 3
MedDRA: Migraine, Ovarian cyst ruptured — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Ovarian cyst ruptures Migraines

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-10
Call 1 — Could Not Reach Participant
2022-05-10
Callback requested for
02:00PM ET
2022-05-10
Call successful
Participant prefers to complete VAERS report online
2022-05-10
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-18	Moderna
3	2021-11-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-18	Successful 2022-05-10	Participant prefers to complete VAERS report online
2022-05-09	Successful 2022-05-10	Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Constipation

2021-02-24

Systemic reaction (other): Anxiety, depression

2021-02-25

Systemic reaction (other): Conscription, Anxiety, and depression

Release 5 — day 14, dose 1

2021-03-05

Symptoms: Increased flatulence, bloating, stomach pain, and irregular stool (constipation when stool was previously consistent and regular). Depression and anxiety increased.

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Uterine pain

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Dizziness

Release 11 — 12 months, dose 2

2022-03-18

Symptoms: Migraines, ovarian cyst rupture

Release 11 — 6 months, dose 3

2022-05-09

Symptoms: Ovarian cyst ruptures Migraines

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	Abdominal distension	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Abnormal faeces	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Migraine	·	·	✓
SD	Ovarian cyst ruptured	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Uterine pain	✓	✓	✓

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