23X-25119-15479

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 917 / CA
Registered: 2021-01-18

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-13
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Heart rate increased, Pharyngeal swelling — Feeling: Fair · Site: Pain · Fever · Chills, Nausea

Free text: Swelling in throat, fast heartbeat , tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: Throat tightness — Feeling: Fair · Chills, Headache, Muscle or body aches, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Throat feels tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 14, dose 1
MedDRA: Office visit, Pharyngeal swelling — Feeling: Fair · Be unable to work

Free text: Urgent care on 9/23/2021Throat swallon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 21, dose 1
MedDRA: Dizziness, Eye haemorrhage, Headache — Feeling: Fair · Be unable to work

Free text: Still having headaches n dizziness Left eye blood vessel poop. MRI February 3

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Dose 2 — Moderna
2021-02-17
Survey response — day 0, dose 2
MedDRA: Blood pressure decreased, Office visit — Feeling: Fair · Site: Redness · None · Get care from a doctor or other healthcare professional

Free text: Where i got my vaccine. They gave me 50mg of Benadryl took vitals. Didn't let me go home till my blood pressure went up.

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
Survey response — days 1–6 daily, dose 2
MedDRA: Vomiting — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Not being able to hold food

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort — Feeling: Good · Nausea

Free text: Stomach today was upset

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Eye disorder, Specialist consultation — Feeling: Good · Site: Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Left eye had to see a doctor n a eye doctor never had a problem before with my eye · Healthcare visit (other): ophthalmologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im still getting on n off Rash on my body.I will be calling the doctor again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-17	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Swelling in throat, fast heartbeat , tired

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Throat feels tightness

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Urgent care on 9/23/2021Throat swallon.

Release 3 — day 21, dose 1

2021-02-03

Symptoms: Still having headaches n dizziness Left eye blood vessel poop. MRI February 3

Release 4 — day 0, dose 2

2021-02-17

Healthcare visit (other): Where i got my vaccine. They gave me 50mg of Benadryl took vitals. Didn't let me go home till my blood pressure went up.

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Not being able to hold food

2021-02-21

Systemic reaction (other): Stomach today was upset

2021-02-23

Systemic reaction (other): Left eye had to see a doctor n a eye doctor never had a problem before with my eye

Healthcare visit (other): ophthalmologist

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Im still getting on n off Rash on my body.I will be calling the doctor again.

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	Blood pressure decreased	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Eye haemorrhage	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Eye disorder	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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