6KM-17625-12462

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 446 / OH
Registered: 2021-04-18

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-24
Dose 1 — Moderna
2021-04-18
Registered in v-safe
2021-04-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperaesthesia, Photophobia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme sensitivity to light and touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Ear pain — Feeling: Good · Site: Pain

Free text: I've had a few dizzy periods over the past 24 hour. BP was normal. Ear ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Still a bit lightheaded or dizzy without cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Survey response — day 14, dose 2
MedDRA: Headache, Hormone level abnormal, Myalgia, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sudden hormone imbalance issues. UTI, headache and muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 28, dose 2
MedDRA: Heavy menstrual bleeding, Office visit, Polymenorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Early menses that has lasted over 2 weeks. · Healthcare visit (other): 1 urgent care visit and a follow up visit with my obgyn and I am scheduled for an US& biopsy with possibly a ablation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Abnormal menstrual clots, Anaemia, Biopsy uterus, Intermenstrual bleeding, Menstruation irregular, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Still having irregular periods with heavy clotting and in-between bleeding. Tests run and blood work was okay although anemic. US showing little explained reasons. · Healthcare visit (other): US and uterine biopsy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Endometrial ablation, Uterine haemorrhage — Feeling: Good · Be unable to do your normal daily activities

Free text: Had to go on progesterone for 2 months to stop uterine bleeding and then under go endometrial ablation surgery.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Hysterectomy — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a hysterectomy.

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Call 1 — Left Voicemail
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Anal abscess, Clostridium difficile infection, Emergency care, Laboratory test abnormal, Post procedural infection, Surgery — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I developed a perianal abscess. I have no history of GI disease that the ER doctors experience with this. Surgery was done and now I have a second infection at the open site and then I tested positive for C-diff a week and a half post-op.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Extreme sensitivity to light and touch.

2021-04-24

Systemic reaction (other): I've had a few dizzy periods over the past 24 hour. BP was normal. Ear ache.

2021-04-25

Systemic reaction (other): Still a bit lightheaded or dizzy without cause.

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Sudden hormone imbalance issues. UTI, headache and muscle aches.

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Early menses that has lasted over 2 weeks.

Healthcare visit (other): 1 urgent care visit and a follow up visit with my obgyn and I am scheduled for an US& biopsy with possibly a ablation

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Still having irregular periods with heavy clotting and in-between bleeding. Tests run and blood work was okay although anemic. US showing little explained reasons.

Healthcare visit (other): US and uterine biopsy

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Had to go on progesterone for 2 months to stop uterine bleeding and then under go endometrial ablation surgery.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: I had a hysterectomy.

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: I developed a perianal abscess. I have no history of GI disease that the ER doctors experience with this. Surgery was done and now I have a second infection at the open site and then I tested positive for C-diff a week and a half post-op.

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	Biopsy uterus	○	✓	○
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	·	✓
SD	Abnormal menstrual clots	✓	✓	✓
SD	Anaemia	✓	✓	✓
SD	Anal abscess	·	·	✓
SD	Clostridium difficile infection	·	·	✓
SD	Emergency care	·	·	✓
SD	Endometrial ablation	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hormone level abnormal	✓	✓	✓
SD	Hysterectomy	·	·	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Polymenorrhoea	✓	✓	✓
SD	Post procedural infection	·	·	✓
SD	Surgery	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Uterine haemorrhage	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Hyperaesthesia	✓	✓	✓
SRO	Photophobia	✓	✓	✓

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