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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

  1. 2021-04-13
    Registered in v-safe
  2. 2021-04-13
    Dose 1 — Moderna
  3. 2021-05-22
    Dose 2 — Moderna
  4. 2021-06-28
    Survey response — day 35, dose 2
    MedDRA: 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 visit
    Free 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
  5. 2021-06-28
    Report sent to call center — day 35, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  6. 2021-07-02
  7. 2021-07-05
    Survey response — day 42, dose 2
    MedDRA: 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 activities
    Free 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

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-22Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 35, dose 2

2021-06-28

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

2021-07-05

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDGenital lesion ✓ ✓ ✓
SDHaemorrhage urinary tract ✓ ✓ ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDHypotonic urinary bladder ✓ ✓ ✓
SDMass ✓ ✓ ✓
SDMicturition urgency ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDUrinary incontinence ✓ ✓ ✓

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