3QR-13423-82829

2 vaccinations 9 coded responses 26 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 871 / NM
Registered: 2021-03-25

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Chills

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Sneezing — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Stuffy nose and some sneezing, maybe seasonal allergy related can't tell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Slightly stuffy nose, not sure if it seasonal allergy related or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 1
MedDRA: Axillary pain, Nasal congestion — Feeling: Good · Fatigue or tiredness

Free text: Minor stuffy nose which maybe seasonal allergy related. A little soreness in left armpit area ( same arm) vaccine was given. in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Free text: Some minor dehydration.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 28, dose 2
MedDRA: Dysmenorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Menstrual cramping was worse than normal for recent menstrual period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Myalgia, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Some recent nausea just this last week and some muscle aches. Not sure if it is vaccine related or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding — Feeling: Good · Be unable to do your normal daily activities

Free text: Menstrual periods have much heavier flow and severe cramping. No changes to cycle time or duration of menstrual periods.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Dysmenorrhoea, Loss of personal independence in daily activities, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities

Free text: Still experiencing more painful menstruation. Cramping is still very bad and painful and sometimes keeps me from normal daily activities. Last cycle was a little better but still not back to pre vaccine norm.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Unevaluable event, Uterine dilation and curettage, Uterine leiomyoma — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Uterine fibroids and andenomysis · Healthcare visit (other): Hysterscopy with D&C for fibroid removal

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-04-22	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Stuffy nose and some sneezing, maybe seasonal allergy related can't tell

2021-03-31

Systemic reaction (other): Slightly stuffy nose, not sure if it seasonal allergy related or not

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Minor stuffy nose which maybe seasonal allergy related. A little soreness in left armpit area ( same arm) vaccine was given. in

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Some minor dehydration.

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Menstrual cramping was worse than normal for recent menstrual period.

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Some recent nausea just this last week and some muscle aches. Not sure if it is vaccine related or not.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Menstrual periods have much heavier flow and severe cramping. No changes to cycle time or duration of menstrual periods.

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Still experiencing more painful menstruation. Cramping is still very bad and painful and sometimes keeps me from normal daily activities. Last cycle was a little better but still not back to pre vaccine norm.

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Uterine fibroids and andenomysis

Healthcare visit (other): Hysterscopy with D&C for fibroid removal

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	Uterine dilation and curettage	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Uterine leiomyoma	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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