4D5-18114-28736
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-20
- 2021-01-27
- 2021-02-03
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Not sure if this is truly related but when I run outside Im wheezing (no history of asthma). This has happened since my first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
-
2021-08-05
Survey response — 6 months, dose 2MedDRA: Arthritis, Premature menopause — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Arthritis and early menopauseMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-19
- 2021-11-29
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: COVID-19, Cardiac ablation, Dizziness, Heart rate increased, Lymphadenitis, Ultrasound scan abnormal, Uterine dilation and curettage — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got Covid day after Christmas 12.26.21 I had very weird symptoms including inflamed lymph nodes of the neck that required an ultrasound, dizziness, rapid heart rate and even though I had an ablation and DNC in September I got my period as well.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-05 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Not sure if this is truly related but when I run outside Im wheezing (no history of asthma). This has happened since my first shot.
Release 9 — 6 months, dose 2
Symptoms: Arthritis and early menopause
Release 11 — 12 months, dose 2
Symptoms: I got Covid day after Christmas 12.26.21 I had very weird symptoms including inflamed lymph nodes of the neck that required an ultrasound, dizziness, rapid heart rate and even though I had an ablation and DNC in September I got my period as well.
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 | Arthritis | ✓ | · | ✓ |
| SD | Cardiac ablation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Lymphadenitis | · | · | ✓ |
| SD | Premature menopause | ✓ | · | ✓ |
| SD | Ultrasound scan abnormal | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release