4JA-30676-15674
4 vaccinations
17 coded responses
56 check-ins
15 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 600 / IL
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-16
Registered in v-safe
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2021-03-16
Dose 1 — Moderna
- 2021-03-16
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tirednessAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
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2021-03-30
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling — Feeling: GoodFree text: Rash at injection site, red, swollen, very itchy and a bit painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-04-13
Dose 2 — Moderna
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2021-04-13
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
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2021-07-13
Survey response — 3 months, dose 2MedDRA: Menstruation delayed — Feeling: FairFree text: My period has been over 2 weeks late for the past 2 cyclesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-12
Survey response — 6 months, dose 2MedDRA: Cough — Feeling: FairFree text: Nagging cough for a few weeks now.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: All of the above symptoms, plus dizziness, came on yesterday afternoon after my check in. I'm much better today.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal painAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tirednessFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-11-08
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2021-11-15
Survey response — day 14, dose 3MedDRA: Menstruation irregular, Muscle spasms, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Leg cramps. Often comes with my period, expected in a couple days. However, my cycle was way off after the first 2 vaccines and took a few months to get back on trackMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Survey response — day 21, dose 3MedDRA: Menstruation delayed, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: My period is now several days late, which happened with the first 2 doses, tooMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 28, dose 3MedDRA: Menstruation delayed, Sinus pain, Wheezing — Feeling: FairFree text: Sinus pain and wheezing quite a bit. Period is now 10 days late, definitely not pregnant.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
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2021-12-13
Survey response — day 42, dose 3MedDRA: Fluid retention, Insomnia, Menstruation irregular — Feeling: GoodFree text: Insomnia is really bad. I also seem to be retaining a lot of fluids. Both are pms symptoms for me and the vaccine really seems to disrupt my cycle.MedDRA releases: 2024-11 · check-in free text available
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2022-01-31
Survey response — 3 months, dose 3MedDRA: Constipation, Impaired work ability, Menstrual disorder, Premenstrual syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: The vaccine wreaks havoc on my menstrual cycle and takes months to reset. As a result, pms symptoms last for weeks at a time. This past month I have been so constipated I missed 2 days of work.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-11-01
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2022-11-03
Dose 4 — Moderna
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2022-11-03
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-11-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2022-11-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2022-11-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-11-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-11-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2022-11-09
Survey response — days 1–6 daily, dose 4MedDRA: Cough — Feeling: Good · Site: Redness, ItchingFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Health check-in — day 7, dose 4Feeling: Good · Site: Redness, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-11-17
Survey response — day 14, dose 4MedDRA: Cough, Headache, Upper-airway cough syndrome — Feeling: GoodFree text: Cough and post nasal drip. Headaches.MedDRA releases: 2024-11 · check-in free text available
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2022-11-24
Survey response — day 21, dose 4MedDRA: Cough, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: GoodFree text: Post nasal drip, congestion, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-12-01
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2022-12-08
Survey response — day 35, dose 4MedDRA: Headache, Respiratory tract congestion, Sinus pain — Feeling: FairFree text: Headaches, sinus pain, congestionMedDRA releases: 2024-11 · check-in free text available
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2022-12-15
Survey response — day 42, dose 4MedDRA: Headache — Feeling: FairFree text: Bad headachesMedDRA releases: 2024-11 · check-in free text available
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2023-02-03
Survey response — 3 months, dose 4MedDRA: Menstruation irregular, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-05-05
Survey response — 6 months, dose 4MedDRA: Arthralgia, Arthritis, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-05-05
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-11-03 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: Rash at injection site, red, swollen, very itchy and a bit painful
Release 9 — 3 months, dose 2
Symptoms: My period has been over 2 weeks late for the past 2 cycles
Release 10 — 6 months, dose 2
Symptoms: Nagging cough for a few weeks now.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): All of the above symptoms, plus dizziness, came on yesterday afternoon after my check in. I'm much better today.
Systemic reaction (other): Insomnia
Release 10 — day 14, dose 3
Symptoms: Leg cramps. Often comes with my period, expected in a couple days. However, my cycle was way off after the first 2 vaccines and took a few months to get back on track
Release 10 — day 21, dose 3
Symptoms: My period is now several days late, which happened with the first 2 doses, too
Release 10 — day 28, dose 3
Symptoms: Sinus pain and wheezing quite a bit. Period is now 10 days late, definitely not pregnant.
Release 10 — day 42, dose 3
Symptoms: Insomnia is really bad. I also seem to be retaining a lot of fluids. Both are pms symptoms for me and the vaccine really seems to disrupt my cycle.
Release 11 — 3 months, dose 3
Symptoms: The vaccine wreaks havoc on my menstrual cycle and takes months to reset. As a result, pms symptoms last for weeks at a time. This past month I have been so constipated I missed 2 days of work.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Cough
Release 12 — day 14, dose 4
Symptoms: Cough and post nasal drip. Headaches.
Release 12 — day 21, dose 4
Symptoms: Post nasal drip, congestion, cough
Release 12 — day 35, dose 4
Symptoms: Headaches, sinus pain, congestion
Release 12 — day 42, dose 4
Symptoms: Bad headaches
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fluid retention | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Premenstrual syndrome | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release