3XE-26993-13075
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 968 / HI
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Registered in v-safe
-
2021-03-14
Dose 1 — Moderna
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in arm pit on injection side (same side as injected arm)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in left arm pit (same side as where I received the injection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-04
-
2021-04-11
Dose 2 — Moderna
- 2021-04-11
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Difficulty sleeping at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
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2021-04-18
Survey response — day 7, dose 2MedDRA: Hordeolum — Feeling: GoodFree text: After my first shot, I got an eye stye. I was able to keep it under control, and it went away before my second shot. After my second shot, the stye started to come back. Ive been working to keep it from getting out of control again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Survey response — day 14, dose 2MedDRA: Pain — Feeling: GoodFree text: Body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-09
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2021-05-16
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with PCOS for the first timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-23
- 2021-07-11
- 2021-10-10
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2022-04-11
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Endometriosis, Infertility, Polycystic ovarian syndrome — Feeling: Good · Be unable to work or attend schoolFree text: Infertility, endometriosis, PCOS, miscarriageMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Moderna | |
| 2 | 2021-04-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-16 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph node in arm pit on injection side (same side as injected arm)
Release 6 — day 7, dose 1
Systemic reaction (other): Swollen lymph node in left arm pit (same side as where I received the injection)
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Difficulty sleeping at night
Release 7 — day 7, dose 2
Systemic reaction (other): After my first shot, I got an eye stye. I was able to keep it under control, and it went away before my second shot. After my second shot, the stye started to come back. Ive been working to keep it from getting out of control again.
Release 7 — day 14, dose 2
Symptoms: Body aches
Release 8 — day 35, dose 2
Symptoms: Diagnosed with PCOS for the first time
Release 11 — 12 months, dose 2
Symptoms: Infertility, endometriosis, PCOS, miscarriage
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 | Abortion spontaneous | · | · | ✓ |
| SD | Endometriosis | · | · | ✓ |
| SD | Infertility | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Polycystic ovarian syndrome | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Hordeolum | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release