CKA-21596-59104

4 vaccinations 9 coded responses 27 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 787 / TX
Registered: 2021-03-07

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

2021-03-06
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Tingling muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 21, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Had a cold unrelated to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 42, dose 2
MedDRA: Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain, Productive cough — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Cold with cough, sore throat, phlegm, tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Dose 3 — Pfizer-BioNTech
2022-04-05
Survey response — 12 months, dose 2
MedDRA: Headache, Lethargy, Pre-existing disease, Secretion discharge — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Allergies, mucus, headaches, lethargy

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-04-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-10
Dose 4 — Moderna
2022-06-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-08
Survey response — day 28, dose 4
MedDRA: Constipation, Diarrhoea, Vomiting — Feeling: Good

Free text: Diarrhea, constipation, barfing

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Survey response — day 35, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-14
Survey response — 3 months, dose 4
MedDRA: Surgery, Tonsillectomy — 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 · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Tonsillectomy and various symptoms resulting from surgery

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
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 · Hospitalization · 1 call case(s)
2022-09-15
Call 1 — Left Voicemail
2022-12-16
Survey response — 6 months, dose 4
MedDRA: Malaise, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sick with a cold

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-11-24	Pfizer-BioNTech	No
4	2022-06-10	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Dizzy

2021-03-08

Systemic reaction (other): Tingling muscles

Release 7 — day 21, dose 2

2021-04-25

Symptoms: Had a cold unrelated to the vaccine

Release 8 — day 42, dose 2

2021-05-15

Symptoms: Cold with cough, sore throat, phlegm, tiredness

Release 11 — 12 months, dose 2

2022-04-05

Symptoms: Allergies, mucus, headaches, lethargy

Release 12 — day 28, dose 4

2022-07-08

Symptoms: Diarrhea, constipation, barfing

Release 12 — day 35, dose 4

2022-07-15

Symptoms: Sore throat

Release 12 — 3 months, dose 4

2022-09-14

Symptoms: Tonsillectomy and various symptoms resulting from surgery

Release 12 — 6 months, dose 4

2022-12-16

Symptoms: Sick with a cold

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	Constipation	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Lethargy	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Secretion discharge	·	·	✓
SD	Surgery	·	·	✓
SD	Tonsillectomy	·	·	✓
SD	Vomiting	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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