3L6-31480-01811
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
-
2021-01-23
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Seemed like redness had gone away, then it came back and got pretty red at the sight of injection and was a bit itchy. I may have just missed that it was still red though, that it hadnt completely gone away. Barely red anymore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
-
2021-02-06
Dose 2 — Moderna
-
2021-02-20
Survey response — day 14, dose 2MedDRA: Fatigue, Nausea, Pain in extremity, Pyrexia, Self-medication — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: After second vaccine- I had some arm pain without redness, and some fatigue. The next day I had mild nausea, really fatigued and for a few hours a fever of 100.5-100.7 which resolved and never came back after taking 200 mg of ibuprofen once.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-08
-
2021-08-07
Survey response — 6 months, dose 2MedDRA: Coital bleeding, Office visit, Ovarian cyst, Vascular neoplasm — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Post Coital bleeding. Vascular lesion in cervix and cysts on ovaries. Having Hysterectomy. · Healthcare visit (other): Saw gynecologist -Doubt its vaccine relatedMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-07
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-24
-
2022-02-06
Survey response — 12 months, dose 2MedDRA: Hysterectomy, Ovarian cyst, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Cyst on ovary- Had to have a hysterectomy- all benign issues · Healthcare visit (other): This is just to keep you informed of all changesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-06
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2022-02-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: Seemed like redness had gone away, then it came back and got pretty red at the sight of injection and was a bit itchy. I may have just missed that it was still red though, that it hadnt completely gone away. Barely red anymore.
Release 4 — day 14, dose 2
Symptoms: After second vaccine- I had some arm pain without redness, and some fatigue. The next day I had mild nausea, really fatigued and for a few hours a fever of 100.5-100.7 which resolved and never came back after taking 200 mg of ibuprofen once.
Release 9 — 6 months, dose 2
Symptoms: Post Coital bleeding. Vascular lesion in cervix and cysts on ovaries. Having Hysterectomy.
Healthcare visit (other): Saw gynecologist -Doubt its vaccine related
Release 11 — 12 months, dose 2
Symptoms: Cyst on ovary- Had to have a hysterectomy- all benign issues
Healthcare visit (other): This is just to keep you informed of all changes
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Coital bleeding | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hysterectomy | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Ovarian cyst | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Vascular neoplasm | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release