3DK-18582-57320
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 170 / PA
- Registered
- 2021-05-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-28
Dose 1 — Moderna
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2021-05-27
Registered in v-safe
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2021-05-27
Dose 2 — Moderna
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2021-05-27
Survey response — day 0, dose 2MedDRA: Heavy menstrual bleeding — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: I had an abnormally heavy period after my 1st covid shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Vivid dreams, possibly hallucinations, insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Muscle tightness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: back pain, extremely tight muscles around my middle backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: lymph node in my armpit in the arm I received the shot has been swollen since the first shot, it is quite large nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2021-06-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, NauseaAdult check-in
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2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-03
- 2021-06-10
- 2021-06-17
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2021-06-24
Survey response — day 28, dose 2MedDRA: Heavy menstrual bleeding — Feeling: GoodFree text: Heavier menses.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Survey response — day 35, dose 2MedDRA: Abdominal pain upper, Asthenia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have had the severe stomach pain again. It lasted almost 12 hours this time and was debilitating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Survey response — day 42, dose 2MedDRA: Weight increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have unexplainable weight gain. I still exercise every day and haven't changed what I'm eating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-13
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-27
- 2021-11-25
- 2022-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna | |
| 2 | 2021-05-27 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): I had an abnormally heavy period after my 1st covid shot.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Vivid dreams, possibly hallucinations, insomnia
Systemic reaction (other): back pain, extremely tight muscles around my middle back
Systemic reaction (other): lymph node in my armpit in the arm I received the shot has been swollen since the first shot, it is quite large now
Release 9 — day 28, dose 2
Symptoms: Heavier menses.
Release 9 — day 35, dose 2
Symptoms: I have had the severe stomach pain again. It lasted almost 12 hours this time and was debilitating.
Release 9 — day 42, dose 2
Symptoms: I have unexplainable weight gain. I still exercise every day and haven't changed what I'm eating.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release