6NB-19783-71951
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 995 / AK
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Moderna
-
2021-05-22
Dose 2 — Moderna
-
2021-06-28
Survey response — day 35, dose 2MedDRA: Fatigue, Genital lesion, Haemorrhage urinary tract, Hypotonic urinary bladder, Micturition urgency — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: 1. Fatigue2. My detrusor muscle couldn't contain its 100% control to hold should i want to urinate...i must go right away otherwise i would leak.3. There's an uncomfortable lump in my private area and everytime i wipe there's stained blood.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-28
Report sent to call center — day 35, dose 2Be 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)
- 2021-07-02
-
2021-07-05
Survey response — day 42, dose 2MedDRA: Heavy menstrual bleeding, Hypotonic urinary bladder, Mass, Pre-existing disease, Urinary incontinence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: A lump appeared on my private area.My detrusor couldn't hold my urine longer than it used to. If I don't go to the bathroom right away, I end up leaking.My menstrual flow is like a river unlike past times. It's like hosing off liquid nonstop.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-22 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 35, dose 2
Symptoms: 1. Fatigue2. My detrusor muscle couldn't contain its 100% control to hold should i want to urinate...i must go right away otherwise i would leak.3. There's an uncomfortable lump in my private area and everytime i wipe there's stained blood.
Release 9 — day 42, dose 2
Symptoms: A lump appeared on my private area.My detrusor couldn't hold my urine longer than it used to. If I don't go to the bathroom right away, I end up leaking.My menstrual flow is like a river unlike past times. It's like hosing off liquid nonstop.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Genital lesion | ✓ | ✓ | ✓ |
| SD | Haemorrhage urinary tract | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Hypotonic urinary bladder | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Micturition urgency | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urinary incontinence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release