Z6H-32913-94731

3 vaccinations 10 coded responses 26 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 210 / MD
Registered: 2021-01-21

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

2021-01-20
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Forgot to note on prior submissions that I have had lymphadenopathy since the day after

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Asthma prophylaxis, Dyspnoea, Lymphadenopathy, Medical counselling, Pre-existing disease, Respiratory disorder, Unevaluable event — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Ongoing lymphadenopathy. Asthma exacerbation since Sunday (3 days total) and so also short of breath at times. · Healthcare visit (other): Sent a message to asthma doctor about breathing. Did not go to get seen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Ongoing supraclavicular lymphadenopathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 14, dose 1
MedDRA: Asthma, Lymphadenopathy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: More asthma exacerbation symptoms. Supraclavicular lymph node still swollen and present

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-17
Survey response — day 0, dose 2
MedDRA: Crohn's disease, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nausea before vaccine related to crohns and not vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Highest temperature reading was on Tylenol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Fair · Nausea, Abdominal pain

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 21, dose 2
MedDRA: Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Vaginal bleeding/spotting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-09
Call 1 — Left Voicemail
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Limb injury, Pregnancy, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Foot injury, UTI, I am 10 weeks pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Pregnancy registry survey
Pregnant after vaccination · Yes, I would like someone to contact me
2021-05-31
Call 1 — Left Voicemail
2021-08-22
Survey response — 6 months, dose 2
MedDRA: Asthma, Pre-existing disease, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school

Free text: Asthma flare with URI.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-13
Dose 3 — Moderna
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Crohn's disease, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Abdominal pain is similar to crohns flare and my last Covid vaccine triggered a crohns flare as well

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-22
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-12-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-26	Unsuccessful
2021-02-17	Unsuccessful
2021-03-10	Unsuccessful
2021-05-19	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Forgot to note on prior submissions that I have had lymphadenopathy since the day after

2021-01-26

Systemic reaction (other): Ongoing lymphadenopathy. Asthma exacerbation since Sunday (3 days total) and so also short of breath at times.

Healthcare visit (other): Sent a message to asthma doctor about breathing. Did not go to get seen.

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Ongoing supraclavicular lymphadenopathy

Release 3 — day 14, dose 1

2021-02-03

Symptoms: More asthma exacerbation symptoms. Supraclavicular lymph node still swollen and present

Release 4 — day 0, dose 2

2021-02-17

Systemic reaction (other): Nausea before vaccine related to crohns and not vaccine

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Highest temperature reading was on Tylenol

Release 5 — day 21, dose 2

2021-03-10

Symptoms: Vaginal bleeding/spotting

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Foot injury, UTI, I am 10 weeks pregnant

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Asthma flare with URI.

Release 10 — days 1–6 daily, dose 3

2021-12-14

Systemic reaction (other): Abdominal pain is similar to crohns flare and my last Covid vaccine triggered a crohns flare as well

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	Medical counselling	✓	·	✓
HCVO	Respiratory disorder	✓	·	✓
HCVO	Unevaluable event	○	✓	○
SD	Asthma	✓	✓	✓
SD	Limb injury	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Pregnancy	✓	✓	✓
SD	Upper respiratory tract infection	✓	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Asthma	✓	·	✓
SRO	Asthma prophylaxis	○	✓	○
SRO	Crohn's disease	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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