5K4-24427-51238

4 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 782 / TX
Registered: 2021-02-26

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

Timeline

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Dry skin — Feeling: Fair · Site: Pain

Free text: Very dehydrated and dry flaky skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 21, dose 1
MedDRA: Back pain, Rhinorrhoea — Feeling: Fair

Free text: Back pain but it could be due to prolonged sitting due to my job but if persist will ser a doctor.Sniffles but no temp 97.3

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: On menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 7, dose 2
MedDRA: Blood pressure increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blood pressure 165/135 stayed high and took time to decline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Chest pain, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Left side under breast, and also under arm and other times other area of chest..pain ranging from low level dull pain 4 to sharp intermittent pain..its been happening alot lately. I have sched Cardiologist appt. next wk but may go to the ER today. · Healthcare visit (other): Appt schd next week wCardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-11-19
Dose 3 — Moderna
2022-03-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-29
Dose 4 — Moderna
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just pain at the injection site

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-25	Moderna
3	2021-11-19	Moderna	No
4	2022-04-29	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Very dehydrated and dry flaky skin

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Back pain but it could be due to prolonged sitting due to my job but if persist will ser a doctor.Sniffles but no temp 97.3

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): On menstrual cycle

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Blood pressure 165/135 stayed high and took time to decline

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Left side under breast, and also under arm and other times other area of chest..pain ranging from low level dull pain 4 to sharp intermittent pain..its been happening alot lately. I have sched Cardiologist appt. next wk but may go to the ER today.

Healthcare visit (other): Appt schd next week wCardiologist

Release 11 — days 1–6 daily, dose 4

2022-05-02

Systemic reaction (other): Just pain at the 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
HCVO	Office visit	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dry skin	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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