2VK-12178-65533

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 281 / NC
Registered: 2021-04-22

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-05-06
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site rash, Injection site warmth, Self-medication — Feeling: Good

Free text: The red and hot patch around my injection site was worse for a few days but once I took antihistamines it calmed down. It is still a bit warm but not as discolored.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Difficulty taking deep breaths

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Difficulty taking deep breaths and subsequent dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: High heart rate and difficulty with deep breaths

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — day 21, dose 2
MedDRA: Hospitalisation, Pulmonary embolism — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: I was admitted to the hospital for Pulmonary Embolism and am not on blood thinners. They have not said for certain yet that this is not due to the vaccine shot, but since my symptoms started right after the second shot....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Call 1 — Left Voicemail
2021-06-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-06

Symptoms: The red and hot patch around my injection site was worse for a few days but once I took antihistamines it calmed down. It is still a bit warm but not as discolored.

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): Heartburn

2021-05-24

Systemic reaction (other): Difficulty taking deep breaths

2021-05-25

Systemic reaction (other): Difficulty taking deep breaths and subsequent dizziness

Release 8 — day 7, dose 2

2021-05-27

Systemic reaction (other): High heart rate and difficulty with deep breaths

Release 9 — day 21, dose 2

2021-06-10

Symptoms: I was admitted to the hospital for Pulmonary Embolism and am not on blood thinners. They have not said for certain yet that this is not due to the vaccine shot, but since my symptoms started right after the second shot....

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	Hospitalisation	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Pulmonary embolism	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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