ZA4-18493-49514

4 vaccinations 4 coded responses 52 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 940 / CA
Registered: 2021-01-15

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Registered dependents

8V2-12060-71346 Child or adolescent in my care · Male · 2022-10-24

Timeline

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Sensitisation — Feeling: Good · Site: Pain

Free text: Mild sensitivity in left arm and thumb.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Muscle spasms — Feeling: Fair · Headache

Free text: Headache and cramps may be d/t having period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Fair · Headache

Free text: Unsure if headache is due to menstrual cycle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Injection site pruritus — Feeling: Good

Free text: Intermittent itching at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-08
Dose 3 — Moderna
2021-11-08
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-11-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-24
Dose 4 — Moderna
2022-10-24
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-11-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-28
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-05
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-15	Moderna
3	2021-11-08	Moderna	No
4	2022-10-24	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Mild sensitivity in left arm and thumb.

2021-01-21

Systemic reaction (other): Headache and cramps may be d/t having period

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Unsure if headache is due to menstrual cycle.

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: Intermittent itching at injection site.

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	Injection site pruritus	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Sensitisation	✓	✓	✓

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