92B-33094-08959

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 773 / TX
Registered: 2021-04-07

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

Timeline

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Survey response — day 0, dose 1
MedDRA: Chest discomfort, Flushing, Hot flush — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Chest tightness, face flushing, hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Injection site erythema, Injection site pruritus — Feeling: Good

Free text: Got covid arm on the 11th day after the first dose of Moderna. Developed a large, red, itchy area on my arm where the vaccine was administered. It lasted approximately 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, dose 1
MedDRA: Cough — Feeling: Good

Free text: Slight cough for 2 days as of today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain · 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: Severe back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 42, dose 2
MedDRA: Blood pressure decreased, Dizziness, Dizziness postural, Heart rate increased, Presyncope, Vision blurred — 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

Free text: Experiencing POTS syndrome like effects. Lightheadedness and dizziness after standing from a sitting, squatting, or bending position. Blood pressure drops and heart rate increases to over 130bpm. Blurry vision. Pre-syncope effects last for 15 min.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-23
Call 1 — Left Voicemail
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-04
Survey response — 12 months, dose 2
MedDRA: COVID-19, Hospitalisation, Pregnancy, Premature labour — Feeling: Good · 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, Emergency room or emergency department visit, Hospitalization

Free text: I got covid in January while 8 months pregnant. It caused preterm contractions and needed to be admitted to the hospital in order to stop labor from progressing.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — 12 months, dose 2
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-04	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-07

Systemic reaction (other): Chest tightness, face flushing, hot flashes

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Back pain

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Got covid arm on the 11th day after the first dose of Moderna. Developed a large, red, itchy area on my arm where the vaccine was administered. It lasted approximately 3 days

Release 8 — day 21, dose 1

2021-04-28

Symptoms: Slight cough for 2 days as of today

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Severe back pain

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Experiencing POTS syndrome like effects. Lightheadedness and dizziness after standing from a sitting, squatting, or bending position. Blood pressure drops and heart rate increases to over 130bpm. Blurry vision. Pre-syncope effects last for 15 min.

Release 11 — 12 months, dose 2

2022-05-04

Symptoms: I got covid in January while 8 months pregnant. It caused preterm contractions and needed to be admitted to the hospital in order to stop labor from progressing.

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	Blood pressure decreased	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dizziness postural	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Premature labour	·	·	✓
SD	Presyncope	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hot flush	✓	✓	✓

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