P2A-28105-18934 · OpenVSafe

Timeline

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

2021-03-26
Dose 1 — Moderna
2021-04-23
Dose 2 — Moderna
2021-12-21
Dose 3 — Pfizer-BioNTech
2021-12-23
Registered in v-safe
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Haematemesis — Feeling: Fair · Site: Pain · Fever · Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Vomiting with blood

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-12-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna	No
2	2021-04-23	Moderna	No
3	2021-12-21	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-23

Systemic reaction (other): Vomiting with blood

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	Haematemesis	·	·	✓

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