5V9-97960-07213
3 vaccinations
8 coded responses
40 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Dysmenorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Abnormally painful menstrual cramps. I dont usually have any. Got my period in the middle of the night with very bad cramping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throat- mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
-
2021-03-05
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-04
- 2021-04-09
- 2021-04-16
- 2021-06-04
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Abdominal distension, Dysmenorrhoea, Gastric disorder, Heavy menstrual bleeding, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Issues with my stomach, nausea & bloating. Its was similar to how I felt after my second dosage. Still having heavy periods & cramping which was not an issue for me before the second dose.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-26
Dose 3 — Moderna
- 2021-11-26
-
2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-28
-
2021-11-29
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Got my period yesterday heavy crampingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
-
2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Flatulence — Feeling: GoodFree text: FlatulenceMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Flatulence — Feeling: GoodFree text: FlatulenceMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
-
2022-02-25
Survey response — 3 months, dose 3MedDRA: Home care, Influenza, Medical counselling, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Horrible flu for 4+ days. Tested negative for COVID 19. · Healthcare visit (other): At home PCR test by nurseMedDRA releases: 2024-11 · check-in free text available
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2022-02-25
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-03-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-27
Survey response — 6 months, dose 3MedDRA: COVID-19, Fatigue, Malaise, Memory impairment, SARS-CoV-2 test negative — 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 · Telehealth, virtual health, or email health consultationFree text: #NAME?MedDRA releases: 2024-11 · check-in free text available
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2022-05-27
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-31
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-26 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Abnormally painful menstrual cramps. I dont usually have any. Got my period in the middle of the night with very bad cramping.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat- mild
Release 9 — 6 months, dose 2
Symptoms: Issues with my stomach, nausea & bloating. Its was similar to how I felt after my second dosage. Still having heavy periods & cramping which was not an issue for me before the second dose.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Got my period yesterday heavy cramping
Systemic reaction (other): Flatulence
Systemic reaction (other): Flatulence
Release 11 — 3 months, dose 3
Symptoms: Horrible flu for 4+ days. Tested negative for COVID 19.
Healthcare visit (other): At home PCR test by nurse
Release 11 — 6 months, dose 3
Symptoms: #NAME?
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 |
|---|---|---|---|---|
| HCVO | Home care | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| SD | Abdominal distension | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysmenorrhoea | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastric disorder | ✓ | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release