3QV-21668-50862
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 282 / NC
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-08
Registered in v-safe
-
2021-04-08
Health check-in — day 7, dose 1Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-14
- 2021-04-23
-
2021-04-28
Dose 2 — Moderna
-
2021-05-05
Health check-in — day 7, dose 2Feeling: Good · Site: Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-12
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2021-05-19
Survey response — day 21, dose 2MedDRA: Abdominal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Bladder disorder, Chest pain, Menstruation delayed, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain on my left upper abdomen radiating to my backA bit of chest painMy bladder function feels different. I feel I am having urinary retentionMy bowel function if different. From daily to 2-3 days now.My period is delayedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-13
Survey response — day 42, dose 2MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tiredness, shoulder right painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-28
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Abdominal pain upper, Arthralgia, Back pain, Chest pain, Menstrual disorder, Muscle spasms, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had another menstrual period for 3 days after two weeks that I had my regular period. Hormonal cramps and abdominal pain included.I also have upper left abdominal pain maybe pancreas radiating to my chest,.shoulder and upper back.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-27
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2022-04-28
Survey response — 12 months, dose 2MedDRA: Back pain, Heavy menstrual bleeding, Menstrual clots, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Constant Left leg and back pain feels sciatica nerve pain? Heavy Menstrual period clots still evident.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Free text
Release 8 — day 21, dose 2
Symptoms: Abdominal pain
Release 8 — day 28, dose 2
Symptoms: Pain on my left upper abdomen radiating to my backA bit of chest painMy bladder function feels different. I feel I am having urinary retentionMy bowel function if different. From daily to 2-3 days now.My period is delayed
Release 9 — day 42, dose 2
Symptoms: Tiredness, shoulder right pain
Release 9 — 3 months, dose 2
Symptoms: I had another menstrual period for 3 days after two weeks that I had my regular period. Hormonal cramps and abdominal pain included.I also have upper left abdominal pain maybe pancreas radiating to my chest,.shoulder and upper back.
Release 11 — 12 months, dose 2
Symptoms: Constant Left leg and back pain feels sciatica nerve pain? Heavy Menstrual period clots still evident.
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 | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | · | ✓ |
| SD | Bladder disorder | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstrual clots | · | · | ✓ |
| SD | Menstrual disorder | ✓ | · | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release