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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

  1. 2021-11-15
    Dose 1 — Moderna
  2. 2021-11-17
    Registered in v-safe
  3. 2021-11-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: My legs are dragging when i walk my arms i can barely lift over my head
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-11-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Dizzy felling faint
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: Leg pain in foot and lower calf
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-01
    Survey response — day 14, dose 1
    MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 bleeding
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-08
    Survey response — day 21, dose 1
    MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pain right foot and leg continued period with large clots size of quarter and half dollar very heavy bleeding
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-15
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-15Moderna No

Free text

Release 10 — days 1–6 daily, dose 1

2021-11-17

Systemic reaction (other): My legs are dragging when i walk my arms i can barely lift over my head

2021-11-20

Systemic reaction (other): Dizzy felling faint

2021-11-21

Systemic reaction (other): Leg pain in foot and lower calf

Release 10 — day 14, dose 1

2021-12-01

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

2021-12-08

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

FieldPreferred term2021-092023-042024-11
SDAbnormal menstrual clots · · ✓
SDDysmenorrhoea · · ✓
SDHeavy menstrual bleeding · · ✓
SDMenstruation irregular · · ✓
SDPain in extremity · · ✓
SRODizziness · · ✓
SROGait disturbance · · ✓
SROMuscular weakness · · ✓
SROPain in extremity · · ✓

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