R2U-71215-42777
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 223 / VA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Moderna
-
2021-04-08
Registered in v-safe
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
-
2021-04-28
Survey response — day 21, dose 1MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — day 28, dose 1MedDRA: Dysmenorrhoea, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Horrible menstrual cramps and terrible periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Dose 2 — Moderna
- 2021-05-12
- 2021-05-13
- 2021-05-20
- 2021-05-29
- 2021-06-05
- 2021-08-07
-
2021-11-04
Survey response — 6 months, dose 2MedDRA: Ectopic pregnancy, Fallopian tube disorder, Fallopian tube operation, Intra-uterine contraceptive device insertion — 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 · Emergency room or emergency department visit, HospitalizationFree text: Ectopic pregnancy with IUD which led to Fallopian tube rupture/removalMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-11-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-05-06
Survey response — 12 months, dose 2MedDRA: COVID-19 — 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 consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-09
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-04 | Successful 2021-11-10 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-05-06 | Successful 2022-05-09 |
Does not wish to fill out VAERS report |
Free text
Release 8 — day 21, dose 1
Symptoms: Migraine
Release 8 — day 28, dose 1
Symptoms: Horrible menstrual cramps and terrible period
Release 10 — 6 months, dose 2
Symptoms: Ectopic pregnancy with IUD which led to Fallopian tube rupture/removal
Release 11 — 12 months, dose 2
Symptoms: Covid
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 | COVID-19 | · | · | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Fallopian tube disorder | · | · | ✓ |
| SD | Fallopian tube operation | · | · | ✓ |
| SD | Intra-uterine contraceptive device insertion | · | · | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release