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UFE-14271-42121

3 vaccinations 5 coded responses 16 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
787 / TX
Registered
2021-11-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-30
    Dose 1 — Moderna
  2. 2021-04-28
    Dose 2 — Moderna
  3. 2021-11-18
    Registered in v-safe
  4. 2021-11-18
    Dose 3 — Moderna
  5. 2021-11-18
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  7. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-11-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node in neck
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node in neck
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-11-25
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-12-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-23
    Survey response — day 35, dose 3
    MedDRA: Menstrual disorder, Menstruation irregular — Feeling: Good
    Free text: Change in menstrual cycle. I've used a cycle tracker for years and have a very regular cycle. I suddenly, for the first time in years, got my period 2 weeks early. I don't think it is stress, diet, or exercise induced.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-02-17
    Survey response — 3 months, dose 3
    MedDRA: Brain fog, COVID-19, Cough, Fatigue, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Contracted COVID-19: Fatigue, scratchy throat, minor cough, brain fog for about 4-5 days
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-21
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-11-20
    Survey response — 12 months, dose 3
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-11-20
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-11-21

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Moderna No
22021-04-28Moderna No
32021-11-18Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-20 Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Swollen lymph node in neck

2021-11-23

Systemic reaction (other): Swollen lymph node in neck

Release 10 — day 35, dose 3

2021-12-23

Symptoms: Change in menstrual cycle. I've used a cycle tracker for years and have a very regular cycle. I suddenly, for the first time in years, got my period 2 weeks early. I don't think it is stress, diet, or exercise induced.

Release 11 — 3 months, dose 3

2022-02-17

Symptoms: Contracted COVID-19: Fatigue, scratchy throat, minor cough, brain fog for about 4-5 days

Release 12 — 12 months, dose 3

2022-11-20

Symptoms: Miscarriage

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
SDAbortion spontaneous · · ✓
SDBrain fog · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDMenstrual disorder · · ✓
SDMenstruation irregular · · ✓
SDThroat irritation · · ✓
SROLymphadenopathy · · ✓

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