ZA9-29396-71569

3 vaccinations 6 coded responses 39 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 853 / AZ
Registered: 2021-08-29

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

Registered dependents

A9W-32231-78496 Child or adolescent in my care · Male · 2022-10-29

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-08-29
Registered in v-safe
2021-08-29
Dose 1 — Moderna
2021-08-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-08-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest Pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pregnancy — Feeling: Poor · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Pregnant so I dont know what is a side effect and what is my pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-09-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pregnancy — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pregnancy — Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Survey response — day 7, dose 1
MedDRA: Pregnancy — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-12
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, vomiting, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-10-10
Dose 2 — Moderna
2021-10-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Nausea

Adult check-in
2021-10-17
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-10-31
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-11-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-11-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-10-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-30
Dose 3 — Moderna
Co-administered: Flu
2022-10-30
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-04-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-29	Moderna	No
2	2021-10-10	Moderna	No
3	2022-10-30	Moderna	Flu

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-31

Systemic reaction (other): Chest Pain

2021-09-01

Systemic reaction (other): Pregnant so I dont know what is a side effect and what is my pregnancy

2021-09-03

Systemic reaction (other): Pregnancy

2021-09-04

Systemic reaction (other): Pregnancy

Release 9 — day 7, dose 1

2021-09-05

Systemic reaction (other): Pregnancy

Release 9 — day 14, dose 1

2021-09-12

Symptoms: Nausea, vomiting, diarrhea

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	Diarrhoea	·	·	✓
SD	Nausea	·	·	✓
SD	Vomiting	·	·	✓
SRO	Chest pain	✓	·	✓
SRO	Pregnancy	✓	·	✓

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