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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

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Moderna
  3. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  4. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Throat tightness — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Tightening of throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-14
    Survey response — day 7, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-03
    Dose 2 — Moderna
  9. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    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 activities
    Adult check-in
  10. 2021-04-04
    Survey response — day 0, dose 2
    MedDRA: 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 activities
    Free text: Missed period since first dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  12. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 visit
    Free text: Extreme menstrual cycle that was not supposed to happen. Bad abdominal bloating and swollen lymph node above collarbone on left side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-07
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Menometrorrhagia, Vaginal haemorrhage — Feeling: Poor · Diarrhea, Abdominal pain · Be unable to work or attend school
    Free text: Heavy vaginal bleeding not supposed to have a cycle. Swollen lymph node above left collar bone since day 2 of vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Lymphadenopathy — Feeling: Poor · Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Swollen lymph node above collar bone and back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-10
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Diarrhea · Be unable to do your normal daily activities
    Free text: Swollen lymph node above collar bone that hurt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-12-08
    Call successful
    Participant prefers to complete VAERS report online
  18. 2021-12-08
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-03Moderna

Call center

ReportedOutcomeVAERS-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

2021-03-09

Systemic reaction (other): Tightening of throat

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Sore throat

Release 6 — day 0, dose 2

2021-04-04

Systemic reaction (other): Missed period since first dose.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Extreme menstrual cycle that was not supposed to happen. Bad abdominal bloating and swollen lymph node above collarbone on left side

2021-04-08

Systemic reaction (other): Heavy vaginal bleeding not supposed to have a cycle. Swollen lymph node above left collar bone since day 2 of vaccination

2021-04-09

Systemic reaction (other): Swollen lymph node above collar bone and back pain

Release 7 — day 7, dose 2

2021-04-10

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

FieldPreferred term2021-092023-042024-11
SROAbdominal distension ✓ ✓ ✓
SROAbortion missed ○ ✓ ○
SROBack pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMenometrorrhagia ✓ ✓ ✓
SROMenstrual disorder ✓ ✓ ✓
SROMenstruation irregular ✓ · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROThroat tightness ✓ ✓ ✓
SROVaginal haemorrhage ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release