677-33982-79013
3 vaccinations
8 coded responses
38 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 973 / OR
- Registered
- 2021-05-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-03
Registered in v-safe
-
2021-05-04
Dose 1 — Moderna
-
2021-05-04
Survey response — day 0, dose 1MedDRA: Feeling jittery — Feeling: Good · Site: Pain · FeverFree text: Felt jittery for an hour or two after vaccine administeredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
-
2021-05-07
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Endometriosis pain is worse todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
-
2021-05-18
Survey response — day 14, dose 1MedDRA: Menstrual disorder, Menstruation delayed — Feeling: Good · Be unable to do your normal daily activitiesFree text: Period started late and flow was abnormalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
-
2021-06-01
Dose 2 — Moderna
- 2021-06-01
-
2021-06-02
Survey response — days 1–6 daily, dose 2MedDRA: Endometriosis, Feeling hot, Hot flush — Feeling: Fair · Site: Pain · FeverFree text: I feel much warmer than usual - more like a hot flash. Endometriosis painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-04
- 2021-06-05
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2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Endometriosis, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Endometriosis pain - worse than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
-
2021-06-08
Survey response — day 7, dose 2MedDRA: Endometriosis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Endometriosis symptoms are worse - pain and flowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-06-22
- 2021-06-29
- 2021-07-06
- 2021-07-13
- 2021-08-31
-
2021-11-30
Dose 3 — Moderna
-
2021-11-30
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Menstrual disorder, Palpitations, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart palpitations. PMS and endometriosis symptoms are much worse than in the past. · Healthcare visit (other): Waiting for appointmentMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2021-12-01
Call successfulDoes not wish to fill out VAERS report
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-06
- 2021-12-09
- 2021-12-14
- 2021-12-21
- 2021-12-29
- 2022-01-04
- 2022-01-11
- 2022-03-01
- 2022-05-31
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2022-12-02
Survey response — 12 months, dose 3MedDRA: Colitis ulcerative — 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 · Emergency room or emergency department visitFree text: Ulcerative colitisMedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Report sent to call center — 12 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 prEmergency room or emergency department visit · 1 call case(s)
- 2022-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Moderna | |
| 2 | 2021-06-01 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Felt jittery for an hour or two after vaccine administered
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Endometriosis pain is worse today
Release 8 — day 14, dose 1
Symptoms: Period started late and flow was abnormal
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I feel much warmer than usual - more like a hot flash. Endometriosis pain
Systemic reaction (other): Endometriosis pain - worse than usual.
Release 8 — day 7, dose 2
Systemic reaction (other): Endometriosis symptoms are worse - pain and flow
Release 10 — 6 months, dose 2
Symptoms: Heart palpitations. PMS and endometriosis symptoms are much worse than in the past.
Healthcare visit (other): Waiting for appointment
Release 12 — 12 months, dose 3
Symptoms: Ulcerative colitis
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 | Unevaluable event | · | · | ✓ |
| SD | Colitis ulcerative | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Endometriosis | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release