6U9-86446-87279
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 161 / PA
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-31
Dose 1 — Moderna
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2021-04-03
Registered in v-safe
- 2021-04-03
- 2021-04-09
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2021-04-14
Survey response — day 14, dose 1MedDRA: Thrombosis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blood clot in my leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 21, dose 1MedDRA: Hypomenorrhoea, Intermenstrual bleeding, Vaginal haemorrhage — Feeling: FairFree text: Ive been having vaginal bleeding mid cycle for over a week. Not heavy, like a light period.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Dose 2 — Moderna
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2021-04-28
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-01
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: Confirmed pregnancy from hpt today, 5 weeks 2 days estimated from lmpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
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2021-06-04
Survey response — day 35, dose 2MedDRA: Multiple sclerosis, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Ive had what appears to be a MS relapse. · Healthcare visit (other): The appointment is on June 30th.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-09
Survey response — day 42, dose 2MedDRA: Brain fog, Burning sensation, Eyelid irritation, Fatigue, Limb discomfort, Muscle twitching, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Possible ms relapse symptoms worsening. Legs heavy going up stairs, fatigue, burning sensation on legs, pins and needles on left arm, eye and facial eye muscle twitching, eyelids feeling very heavy. Brain fog and making lots of mistakes also.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-29
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-04 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Blood clot in my leg.
Release 7 — day 21, dose 1
Symptoms: Ive been having vaginal bleeding mid cycle for over a week. Not heavy, like a light period.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Confirmed pregnancy from hpt today, 5 weeks 2 days estimated from lmp
Release 8 — day 35, dose 2
Symptoms: Ive had what appears to be a MS relapse.
Healthcare visit (other): The appointment is on June 30th.
Release 9 — day 42, dose 2
Symptoms: Possible ms relapse symptoms worsening. Legs heavy going up stairs, fatigue, burning sensation on legs, pins and needles on left arm, eye and facial eye muscle twitching, eyelids feeling very heavy. Brain fog and making lots of mistakes also.
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 | Brain fog | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Eyelid irritation | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypomenorrhoea | ✓ | ✓ | ✓ |
| SD | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Multiple sclerosis | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
| SD | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release