SBQ-60791-37598
2 vaccinations
7 coded responses
11 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
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2021-03-05
Dose 1 — Moderna
- 2021-03-07
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Throat tightness — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tightening of throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-14
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Dose 2 — Moderna
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Survey response — day 0, dose 2MedDRA: Abortion missed, Menstruation irregular — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Missed period since first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal distension, Lymphadenopathy, Menstrual disorder — Feeling: Poor · Site: Pain · Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Extreme menstrual cycle that was not supposed to happen. Bad abdominal bloating and swollen lymph node above collarbone on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Menometrorrhagia, Vaginal haemorrhage — Feeling: Poor · Diarrhea, Abdominal pain · Be unable to work or attend schoolFree text: Heavy vaginal bleeding not supposed to have a cycle. Swollen lymph node above left collar bone since day 2 of vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Lymphadenopathy — Feeling: Poor · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Swollen lymph node above collar bone and back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Diarrhea · Be unable to do your normal daily activitiesFree text: Swollen lymph node above collar bone that hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-12-08
Call successfulParticipant prefers to complete VAERS report online
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2021-12-08
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-09 | Successful 2021-12-08 |
Participant prefers to complete VAERS report online |
| 2021-04-07 | Successful 2021-12-08 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Tightening of throat
Release 5 — day 7, dose 1
Systemic reaction (other): Sore throat
Release 6 — day 0, dose 2
Systemic reaction (other): Missed period since first dose.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme menstrual cycle that was not supposed to happen. Bad abdominal bloating and swollen lymph node above collarbone on left side
Systemic reaction (other): Heavy vaginal bleeding not supposed to have a cycle. Swollen lymph node above left collar bone since day 2 of vaccination
Systemic reaction (other): Swollen lymph node above collar bone and back pain
Release 7 — day 7, dose 2
Systemic reaction (other): Swollen lymph node above collar bone that hurt
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 |
|---|---|---|---|---|
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Abortion missed | ○ | ✓ | ○ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Menometrorrhagia | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release