KD8-25274-68755
3 vaccinations
5 coded responses
29 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 840 / UT
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good · Site: Pain, SwellingFree text: Dizziness 10 min after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-12
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Allodynia, Chills, Cold sweat, Dizziness, Hyperaesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Allodynia (skin sensitivity) responds to Tylenol/ibruprofen; cold sweats with chills; dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-10
- 2021-02-17
- 2021-04-28
- 2021-07-28
-
2021-11-06
Dose 3 — Moderna
- 2021-11-06
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Allodynia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Allodynia (skin sensitivity)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-12
- 2021-12-04
-
2022-02-05
Survey response — 3 months, dose 3MedDRA: Heavy menstrual bleeding — Feeling: GoodFree text: Menstrual period following booster was abnormally heavy, may have been a chemical pregnancy (miscarriage within first 5 weeks)MedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
-
2022-11-06
Survey response — 12 months, dose 3MedDRA: Menstrual disorder, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abnormal period 2 days after last booster Currently pregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-11-06
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-06 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness 10 min after injection
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Allodynia (skin sensitivity) responds to Tylenol/ibruprofen; cold sweats with chills; dizziness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Allodynia (skin sensitivity)
Release 11 — 3 months, dose 3
Symptoms: Menstrual period following booster was abnormally heavy, may have been a chemical pregnancy (miscarriage within first 5 weeks)
Release 12 — 12 months, dose 3
Symptoms: Abnormal period 2 days after last booster Currently pregnant
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 | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Allodynia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release