55Z-19375-32092
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 086 / NJ
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Moderna
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Dry throat — Feeling: GoodFree text: Dry mouth/throat...past 36 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
-
2021-05-07
Survey response — day 14, dose 1MedDRA: Decreased appetite, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea and loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-16
-
2021-05-21
Dose 2 — Moderna
- 2021-05-21
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-06-04
-
2021-06-11
Survey response — day 21, dose 2MedDRA: Heavy menstrual bleeding, Menstrual clots, Menstrual disorder, Muscle spasms — 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 consultationFree text: Since my 1st dose I have completed 2 full menstrual cycles. Both shortened by 3 days, from 27 to 24. Bleeding lasted 7 days (my avg is 4 - 5) and I passed multiple clots. I experienced severe lower back cramping 1 week before & 1st 2 days of bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-19
Survey response — day 28, dose 2MedDRA: Heavy menstrual bleeding, Muscle spasms, Polymenorrhoea — 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 consultationFree text: Shortened menstrual cycle including severe cramping and heavy/elongated bleeding (as previously reported).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-19
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
- 2021-06-25
- 2021-06-25
- 2021-07-02
-
2021-08-20
Survey response — 3 months, dose 2MedDRA: Bleeding time abnormal, Bleeding time prolonged, Body temperature fluctuation, Mood swings, Premenstrual syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Premenstrual symptoms and bleeding timeframe continue to be elevated and sporadic. In addition to previously listed menstral cycle symptoms, I have been experiencing mood and temperature fluctuations.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-23
- 2021-08-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth/throat...past 36 hours
Release 8 — day 14, dose 1
Symptoms: Nausea and loss of appetite
Release 9 — day 21, dose 2
Symptoms: Since my 1st dose I have completed 2 full menstrual cycles. Both shortened by 3 days, from 27 to 24. Bleeding lasted 7 days (my avg is 4 - 5) and I passed multiple clots. I experienced severe lower back cramping 1 week before & 1st 2 days of bleeding cut off by CDC
Release 9 — day 28, dose 2
Symptoms: Shortened menstrual cycle including severe cramping and heavy/elongated bleeding (as previously reported).
Release 9 — 3 months, dose 2
Symptoms: Premenstrual symptoms and bleeding timeframe continue to be elevated and sporadic. In addition to previously listed menstral cycle symptoms, I have been experiencing mood and temperature fluctuations.
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 | Bleeding time abnormal | ✓ | · | ✓ |
| SD | Bleeding time prolonged | ✓ | · | ✓ |
| SD | Body temperature fluctuation | ✓ | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstrual clots | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Mood swings | ✓ | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Polymenorrhoea | ✓ | ✓ | ✓ |
| SD | Premenstrual syndrome | ✓ | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Dry throat | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release