9T5-31180-21133

3 vaccinations 5 coded responses 38 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 770 / TX
Registered: 2021-08-12

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

Registered dependents

7Y4-17517-85669 Child or adolescent in my care · Male · 2022-07-18

H9C-79420-85659 Child or adolescent in my care · Male · 2022-07-18

76C-14194-83701 Child or adolescent in my care · Male · 2022-07-18

KFA-12491-79125 Child or adolescent in my care · Male · 2022-07-18

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-08-11
Dose 1 — Moderna
2021-08-12
Registered in v-safe
2021-08-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-08-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-09-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-08
Dose 2 — Moderna
2021-09-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-09
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 do your normal daily activities

Adult check-in
2021-09-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderate Vertigo/Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo-Moderate

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo moderate

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — day 7, dose 2
MedDRA: Vertigo — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo moderate

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-03-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-07-18
Dose 3 — Moderna
2022-07-18
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-07-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-07-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-07-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2022-07-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-27
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-08-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-08-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-08-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-01-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-11	Moderna	No
2	2021-09-08	Moderna	No
3	2022-07-18	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-11

Systemic reaction (other): Moderate Vertigo/Dizziness

2021-09-12

Systemic reaction (other): Vertigo

2021-09-13

Systemic reaction (other): Vertigo-Moderate

2021-09-14

Systemic reaction (other): Vertigo moderate

Release 9 — day 7, dose 2

2021-09-15

Systemic reaction (other): Vertigo moderate

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
SRO	Dizziness	·	·	✓
SRO	Vertigo	·	·	✓

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