28Q-18656-44165

4 vaccinations 10 coded responses 54 check-ins 9 free-text entries 8 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 946 / CA
Registered: 2021-04-17

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

Registered dependents

KC4-93783-42146 Child or adolescent in my care · Female · 2022-06-23

Timeline

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

2021-04-17
Registered in v-safe
2021-04-17
Dose 1 — Moderna
2021-04-17
Health check-in — day 0, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat, Hypersensitivity, Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: Allergy symptoms. Dry throat. Nose congestion and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-04-24
Health check-in — day 7, dose 1
Feeling: Poor · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 21, dose 1
MedDRA: Epistaxis, Odynophagia, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat. Hurts to swallow. Bloody mucus boogers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Dose 2 — Moderna
2021-05-15
Health check-in — day 0, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-05-15
Survey response — day 28, dose 1
MedDRA: Epistaxis, Hypersensitivity, Oropharyngeal pain, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bad allergies. Sore throat. Bloody mucus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-05-17
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2021-05-18
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-05-22
Survey response — day 7, dose 2
MedDRA: Menstruation irregular — Feeling: Fair · Site: Itching · Abdominal pain · Be unable to do your normal daily activities

Free text: Changes in my period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-12
Survey response — day 28, dose 2
MedDRA: Intermenstrual bleeding, Muscle spasms, Pelvic pain, Vaginal haemorrhage, Vulvovaginal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Very painful vaginal bleeding and cramping. Bleeding between cycles. Bad pelvic pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-22
Dose 3 — Pfizer-BioNTech
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-23
Survey response — 6 months, dose 3
MedDRA: Dysphonia, Nasal congestion, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Irritated throat Nasal Congestion Hoarseness

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Dose 4 — Pfizer-BioNTech
2022-09-17
Survey response — day 0, dose 4
MedDRA: Feeling abnormal — Feeling: Fair

Free text: My head feels fuzzy

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-24
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-08
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-15
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-17
Survey response — 3 months, dose 4
MedDRA: Diarrhoea, Nausea — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nausea and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-20
Call 1 — Left Voicemail
2023-03-18
Survey response — 6 months, dose 4
MedDRA: Cardiac disorder, Dyspnoea, Extrasystoles, Heart rate decreased, Palpitations — 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-18
Report sent to call center — 6 months, dose 4
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-21
Call successful
Does not wish to fill out VAERS report
2023-03-21
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Moderna
2	2021-05-15	Moderna
3	2021-11-22	Pfizer-BioNTech	No
4	2022-09-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-08	Successful 2021-06-17	Participant prefers to complete VAERS report online
2021-05-15	Successful 2021-06-17	Participant prefers to complete VAERS report online
2021-05-15	Successful 2021-06-17	Participant prefers to complete VAERS report online
2021-05-17	Successful 2021-06-17	Participant prefers to complete VAERS report online
2021-05-18	Successful 2021-06-17	Participant prefers to complete VAERS report online
2021-06-12	Successful 2021-06-17	Participant prefers to complete VAERS report online
2022-12-17	Successful 2023-03-21	Does not wish to fill out VAERS report
2023-03-18	Successful 2023-03-21	Does not wish to fill out VAERS report

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Allergy symptoms. Dry throat. Nose congestion and runny nose

2021-04-20

Systemic reaction (other): Cough

Release 8 — day 21, dose 1

2021-05-08

Symptoms: Sore throat. Hurts to swallow. Bloody mucus boogers.

Release 8 — day 28, dose 1

2021-05-15

Symptoms: Bad allergies. Sore throat. Bloody mucus

Release 8 — day 7, dose 2

2021-05-22

Systemic reaction (other): Changes in my period

Release 9 — day 28, dose 2

2021-06-12

Symptoms: Very painful vaginal bleeding and cramping. Bleeding between cycles. Bad pelvic pressure.

Release 11 — 6 months, dose 3

2022-05-23

Symptoms: Irritated throat Nasal Congestion Hoarseness

Release 12 — day 0, dose 4

2022-09-17

Systemic reaction (other): My head feels fuzzy

Release 12 — 3 months, dose 4

2022-12-17

Symptoms: Nausea and 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	Cardiac disorder	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Extrasystoles	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Odynophagia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pelvic pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Vaginal haemorrhage	✓	✓	✓
SD	Vulvovaginal pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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