63A-28708-25315
1 vaccination
5 coded responses
6 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 486 / MI
- Registered
- 2021-11-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-11-15
Dose 1 — Moderna
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2021-11-17
Registered in v-safe
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2021-11-17
Survey response — days 1–6 daily, dose 1MedDRA: Gait disturbance, Muscular weakness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My legs are dragging when i walk my arms i can barely lift over my headMedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dizzy felling faintMedDRA releases: 2024-11 · check-in free text available
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2021-11-21
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painFree text: Leg pain in foot and lower calfMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Survey response — day 14, dose 1MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 2 days after receiving the vaccine i started my period wich was not my time to start i am never a heavy bleader on my period i have been very heavy with cramps my periods my while life have only lasted 3 days i am still heavily bleedingMedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Survey response — day 21, dose 1MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain right foot and leg continued period with large clots size of quarter and half dollar very heavy bleedingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-15 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): My legs are dragging when i walk my arms i can barely lift over my head
Systemic reaction (other): Dizzy felling faint
Systemic reaction (other): Leg pain in foot and lower calf
Release 10 — day 14, dose 1
Symptoms: 2 days after receiving the vaccine i started my period wich was not my time to start i am never a heavy bleader on my period i have been very heavy with cramps my periods my while life have only lasted 3 days i am still heavily bleeding
Release 10 — day 21, dose 1
Symptoms: Pain right foot and leg continued period with large clots size of quarter and half dollar very heavy bleeding
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 | Abnormal menstrual clots | · | · | ✓ |
| SD | Dysmenorrhoea | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Gait disturbance | · | · | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release