6TY-15048-32504

4 vaccinations 10 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 16-20
ZIP prefix: 928 / CA
Registered: 2021-03-16

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

2021-03-11
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches, Nausea

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Nausea — Feeling: Good

Free text: I was very nauseous for the last 2 weeks but I do feel better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: The site was a bit itchy but better now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Weight decreased — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Free text: I have also been losing weight And when I stand up to quickly I get a sharp pain in my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Fatigue, Hunger — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: I dont feel hungry and Im so tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache — Feeling: Good

Free text: From time to time I get dizzy getting up and the headaches still come back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Decreased appetite — Feeling: Fair

Free text: I havent had very much of a appetite and my stomach has been hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 35, dose 2
MedDRA: Dizziness, Nausea — Feeling: Fair

Free text: I still feel nauseous at times and Im still lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 42, dose 2
MedDRA: Headache, Nausea — Feeling: Fair

Free text: Still nauseous and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Chest discomfort, Malaise — Feeling: Good

Free text: I've gotten sick and had tightness of chest

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Dose 3 — Moderna
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-03
Dose 4 — Moderna
2022-11-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-02
Survey response — 3 months, dose 4
MedDRA: Ageusia, Anosmia — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-02
Report sent to call center — 3 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-11	Moderna	No
4	2022-10-03	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-25

Symptoms: I was very nauseous for the last 2 weeks but I do feel better

Release 6 — day 21, dose 1

2021-04-01

Symptoms: The site was a bit itchy but better now

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): I have also been losing weight And when I stand up to quickly I get a sharp pain in my head

2021-04-14

Systemic reaction (other): I dont feel hungry and Im so tired

Release 7 — day 14, dose 2

2021-04-22

Symptoms: From time to time I get dizzy getting up and the headaches still come back

Release 8 — day 21, dose 2

2021-04-29

Symptoms: I havent had very much of a appetite and my stomach has been hurting

Release 8 — day 35, dose 2

2021-05-13

Symptoms: I still feel nauseous at times and Im still lightheaded

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Still nauseous and headache

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: I've gotten sick and had tightness of chest

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	Abdominal pain upper	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hunger	✓	✓	○
SRO	Weight decreased	✓	✓	✓

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