3J8-11713-97168
3 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 128 / NY
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-02
Dose 1 — Moderna
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2021-05-05
Dose 2 — Moderna
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2021-05-06
Registered in v-safe
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, NauseaAdult check-in
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation irregular, Polymenorrhoea, Vaccine positive rechallenge — Feeling: Good · Site: Pain · NauseaFree text: My period started two days after I got my shot, which is the same thing that happened with my first shot. I was not due yet for my period to start either time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: FairFree text: Extremely heavy period, which is not normal for me. I mentioned yesterday that is also very early.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Oligomenorrhoea — Feeling: GoodFree text: Period persistsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Heavy menstrual bleeding — Feeling: GoodFree text: Ongoing periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-21
- 2021-06-08
- 2021-06-09
- 2021-06-16
- 2021-08-04
- 2021-11-03
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2022-01-05
Dose 3 — Moderna
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2022-01-06
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-08
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2022-01-11
Survey response — days 1–6 daily, dose 3MedDRA: Uterine spasm — Feeling: GoodFree text: I had some intense uterine cramping the day after my shot. This was just a few days after my period ended. I am not pregnant.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-12
- 2022-01-19
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2022-01-26
Survey response — day 21, dose 3MedDRA: Breast tenderness, Menstruation irregular — Feeling: FairFree text: I have some tenderness in one of my breasts, which I realized I also had following other my other two shots. It dissipated after a couple of months. My menstrual cycle was also disrupted previously so I'm waiting to see if that's the case this time.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
- 2022-02-09
- 2022-02-16
- 2022-04-06
- 2022-07-08
- 2023-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2022-01-05 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My period started two days after I got my shot, which is the same thing that happened with my first shot. I was not due yet for my period to start either time.
Systemic reaction (other): Extremely heavy period, which is not normal for me. I mentioned yesterday that is also very early.
Systemic reaction (other): Period persists
Systemic reaction (other): Ongoing period
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had some intense uterine cramping the day after my shot. This was just a few days after my period ended. I am not pregnant.
Release 11 — day 21, dose 3
Symptoms: I have some tenderness in one of my breasts, which I realized I also had following other my other two shots. It dissipated after a couple of months. My menstrual cycle was also disrupted previously so I'm waiting to see if that's the case this time. cut off by CDC
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 | Breast tenderness | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SRO | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Oligomenorrhoea | ✓ | ✓ | ✓ |
| SRO | Polymenorrhoea | ✓ | ✓ | ✓ |
| SRO | Uterine spasm | · | · | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release