V6G-23657-64804 · OpenVSafe

Timeline

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

2021-04-14
Dose 1 — Moderna
2021-05-17
Dose 2 — Moderna
2021-05-19
Registered in v-safe
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-15
Survey response — 6 months, dose 2
MedDRA: Lactose intolerance — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lactose intolerance

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
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)
2021-11-16
Call 1 — Left Voicemail
2022-01-24
Dose 3 — Pfizer-BioNTech
2022-07-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-17	Moderna
3	2022-01-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-15	Unsuccessful

Free text

Release 10 — 6 months, dose 2

2021-11-15

Symptoms: Lactose intolerance

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	Lactose intolerance	·	·	✓

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