6WF-33907-47096
2 vaccinations
8 coded responses
26 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 977 / OR
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-05
Registered in v-safe
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2021-05-05
Dose 1 — Moderna
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2021-05-05
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-08
- 2021-05-09
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2021-05-10
Survey response — days 1–6 daily, dose 1MedDRA: Flatulence — Feeling: Good · Abdominal painFree text: Ive had serious gas this whole timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-12
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2021-05-19
Survey response — day 14, dose 1MedDRA: Contusion, Irritable bowel syndrome, Lymphadenopathy, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Lymph node in armpit on arm shot was swollen and surrounded by bruises lasting four days. Used heat compressions for the pain. My IBS is still mad about the shot as wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-26
Survey response — day 21, dose 1MedDRA: Polymenorrhoea — Feeling: GoodFree text: Ive had no period. Now a week late.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Dose 2 — Moderna
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2021-06-02
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal painAdult check-in
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2021-06-04
Survey response — days 1–6 daily, dose 2MedDRA: Amenorrhoea — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Diarrhea, Abdominal painFree text: Still no period since first shot. Not pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-06-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Abdominal painAdult check-in
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2021-06-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Site: Pain · Abdominal painFree text: Large bruise at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2021-06-16
- 2021-06-25
- 2021-06-30
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2021-07-07
Survey response — day 35, dose 2MedDRA: Menstruation delayed, Vaccine positive rechallenge — Feeling: GoodFree text: Again really late for my period. First shot two weeks late. This one over a week so farMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Survey response — day 42, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Period did finally come 10 days late. Super bloody and painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-01
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2021-12-04
Survey response — 6 months, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Elbow pain on arm for 3 months now. No over usage or activities to make it happen. On arm where I got both shotsMedDRA releases: 2024-11 · check-in free text available
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2022-05-10
Call successfulDoes not wish to fill out VAERS report
- 2022-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-05 | Moderna | |
| 2 | 2021-06-02 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Ive had serious gas this whole time
Release 8 — day 14, dose 1
Symptoms: Lymph node in armpit on arm shot was swollen and surrounded by bruises lasting four days. Used heat compressions for the pain. My IBS is still mad about the shot as well
Release 8 — day 21, dose 1
Symptoms: Ive had no period. Now a week late.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Still no period since first shot. Not pregnant.
Systemic reaction (other): Large bruise at injection site
Release 9 — day 35, dose 2
Symptoms: Again really late for my period. First shot two weeks late. This one over a week so far
Release 9 — day 42, dose 2
Symptoms: Period did finally come 10 days late. Super bloody and painful
Release 10 — 6 months, dose 2
Symptoms: Elbow pain on arm for 3 months now. No over usage or activities to make it happen. On arm where I got both shots
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 | Arthralgia | · | · | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Polymenorrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Amenorrhoea | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release