4SA-32563-45304
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-24
Dose 1 — Moderna
-
2021-04-25
Registered in v-safe
- 2021-04-25
-
2021-04-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms — Feeling: GoodFree text: I think I start my monthly cycle randomly. Normally I dont bleed but yesterday evening I got cramps and this morning I woke up to a little bloodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, NauseaAdult check-in
-
2021-04-29
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Pain — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body achesFree text: Still have a pain under my armpit area, its the same arm as the shot. Hurts to move it certain ways.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
-
2021-05-01
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: Fair · Muscle or body achesFree text: Still pain in the armpit. Once I take ibuprofen tho its fine at least todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-15
-
2021-05-22
Dose 2 — Moderna
- 2021-05-22
-
2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Menstrual disorder — Feeling: Fair · Site: Redness, Itching · Diarrhea, Abdominal painFree text: Started my cycle , which I dont get since Im on birth controlMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-06-27
- 2021-07-03
- 2021-08-22
- 2021-11-22
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2022-05-24
Survey response — 12 months, dose 2MedDRA: Syncope — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: SynposeMedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Moderna | |
| 2 | 2021-05-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-24 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): I think I start my monthly cycle randomly. Normally I dont bleed but yesterday evening I got cramps and this morning I woke up to a little blood
Systemic reaction (other): Still have a pain under my armpit area, its the same arm as the shot. Hurts to move it certain ways.
Release 8 — day 7, dose 1
Systemic reaction (other): Still pain in the armpit. Once I take ibuprofen tho its fine at least today
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Started my cycle , which I dont get since Im on birth control
Release 11 — 12 months, dose 2
Symptoms: Synpose
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 | Syncope | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release