4XT-27730-77055

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 891 / NV
Registered: 2020-12-31

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea, Menstruation irregular — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I started my period the first day of the shot the cramping was much more severe than usual. It is now getting tolerable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Muscle or body aches

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary mass — Feeling: Good

Free text: I feel a small lump in my armpit, of the arm where I received my shot. The lump was not there previously.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — day 7, dose 1
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Last night runny nose & stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Loss of personal independence in daily activities, Mobility decreased, Proctalgia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Ever since getting the vaccine I have experience severe as abdominal/rectal pain while on my period. Its affecting my adls, bedridden for 3 days. and Im following up with my obgyn. Each month is worse than the last since dec 2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-28
Survey response — 12 months, dose 2
MedDRA: Dysmenorrhoea, Hysterectomy, Uterine leiomyoma — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe period cramping, had to have hysterectomy, fibroid thought to be cancerous, very " unusual" case

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): I started my period the first day of the shot the cramping was much more severe than usual. It is now getting tolerable

2021-01-06

Systemic reaction (other): I feel a small lump in my armpit, of the arm where I received my shot. The lump was not there previously.

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Last night runny nose & stuffy nose

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: Ever since getting the vaccine I have experience severe as abdominal/rectal pain while on my period. Its affecting my adls, bedridden for 3 days. and Im following up with my obgyn. Each month is worse than the last since dec 2020

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Severe period cramping, had to have hysterectomy, fibroid thought to be cancerous, very " unusual" case

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	Abdominal pain	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Hysterectomy	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Proctalgia	✓	✓	✓
SD	Uterine leiomyoma	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release