CUK-24515-59611

3 vaccinations 9 coded responses 23 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 296 / SC
Registered: 2021-06-18

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2021-06-18
Registered in v-safe
2021-06-18
Dose 1 — Moderna
2021-06-18
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Free text: Something Twitching in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-06-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-06-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-16
Dose 2 — Moderna
2021-07-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-07-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-30
Survey response — day 14, dose 2
MedDRA: Kidney infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Kidney infection

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — day 28, dose 2
MedDRA: Asthma, Kidney infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Kidney infection and asthma

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-22
Survey response — day 35, dose 2
MedDRA: Fungal infection — Feeling: Good

Free text: Yeast infection

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Call 1 — Could Not Reach Participant
2021-08-27
Call 2 — Could Not Reach Participant
2021-08-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-14
Survey response — 6 months, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My Heart a/e ratio is elevated for some reason

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-17
Call 1 — Could Not Reach Participant
2022-01-20
Call 2 — Could Not Reach Participant
2022-01-29
Dose 3 — Pfizer-BioNTech
2022-01-30
Survey response — days 1–6 daily, dose 3
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hives on my bottom

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2022-02-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-07
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-19
Survey response — day 21, dose 3
MedDRA: Pregnancy, Supraventricular extrasystoles, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pregnancy, PVCs, pacs

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-02-21
Call successful
Does not wish to fill out VAERS report
2022-03-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-18	Moderna
2	2021-07-16	Moderna	No
3	2022-01-29	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-06-18

Systemic reaction (other): Sore throat

Release 9 — days 1–6 daily, dose 1

2021-06-19

Systemic reaction (other): Something Twitching in neck

Release 9 — days 1–6 daily, dose 2

2021-07-17

Systemic reaction (other): Dizzy

Release 9 — day 14, dose 2

2021-07-30

Symptoms: Kidney infection

Release 9 — day 28, dose 2

2021-08-13

Symptoms: Kidney infection and asthma

Release 9 — day 35, dose 2

2021-08-22

Symptoms: Yeast infection

Release 10 — 6 months, dose 2

2022-01-14

Symptoms: My Heart a/e ratio is elevated for some reason

Release 11 — days 1–6 daily, dose 3

2022-01-30

Systemic reaction (other): Hives on my bottom

Release 11 — day 21, dose 3

2022-02-19

Symptoms: Pregnancy, PVCs, pacs

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	Asthma	✓	·	✓
SD	Fungal infection	✓	·	✓
SD	Heart rate increased	·	·	✓
SD	Kidney infection	✓	·	✓
SD	Pregnancy	·	·	✓
SD	Supraventricular extrasystoles	·	·	✓
SD	Ventricular extrasystoles	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Urticaria	·	·	✓

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