4DY-17133-22989
3 vaccinations
6 coded responses
37 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: My period started late for both vaccines. Is this something seen in other women? I am regular like clockwork and had a later period two months in a row.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Nausea, Pyrexia — Feeling: Good · Fever · Abdominal pain · Be unable to workFree text: My period cramps the past 24 hours have been bad. Cramps will be painful, followed by a spike in temperature, and nausea. It goes away, but it happened yesterday and today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 7, dose 2MedDRA: Menstrual disorder — Feeling: GoodFree text: My period symptoms have subsided as my period is one the downhill. Are you tracking menstrual cycle symptoms with the vaccine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-03
- 2021-04-08
- 2021-05-27
- 2021-08-29
-
2021-11-02
Dose 3 — Moderna
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia, Middle insomnia, Sensory disturbance — Feeling: GoodFree text: The day of the shot, I kept waking up - like I could feel something in my body. I had insomnia that night and couldn't sleep.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
-
2021-11-23
Survey response — day 21, dose 3MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend schoolFree text: I got Covid!MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
-
2021-12-07
Survey response — day 35, dose 3MedDRA: COVID-19, Ear discomfort, Ear infection, Ear pain, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection. My Covid symptoms started on Sunday with sore throat. (11/21) I started feeling something in my ear on Tuesday (11/23). It was really hurting a week later on Wednesday (12/2). I went to a NP on Friday (12/3). Imalso tired a LOT.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Report sent to call center — day 35, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-08
Call successfulDoes not wish to fill out VAERS report
- 2021-12-14
- 2022-02-01
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My period started late for both vaccines. Is this something seen in other women? I am regular like clockwork and had a later period two months in a row.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My period cramps the past 24 hours have been bad. Cramps will be painful, followed by a spike in temperature, and nausea. It goes away, but it happened yesterday and today.
Release 5 — day 7, dose 2
Systemic reaction (other): My period symptoms have subsided as my period is one the downhill. Are you tracking menstrual cycle symptoms with the vaccine?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day of the shot, I kept waking up - like I could feel something in my body. I had insomnia that night and couldn't sleep.
Release 10 — day 21, dose 3
Symptoms: I got Covid!
Release 10 — day 35, dose 3
Symptoms: Ear infection. My Covid symptoms started on Sunday with sore throat. (11/21) I started feeling something in my ear on Tuesday (11/23). It was really hurting a week later on Wednesday (12/2). I went to a NP on Friday (12/3). Imalso tired a LOT.
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 | COVID-19 | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sensory disturbance | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release