UXA-11946-62622
4 vaccinations
10 coded responses
49 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 223 / VA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
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2021-02-19
Dose 1 — Moderna
- 2021-02-19
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-21
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Feeling abnormal — Feeling: GoodFree text: Dizziness/off feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Menstruation irregular, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Headache, Nausea, DiarrheaFree text: Headache could be related to allergies or PMS. My period is late and Im not pregnant. My cycle was off after the first shot as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · HeadacheFree text: I was supposed to get my period the day of my shot but have not gotten it yet. I am not pregnant. Note, my headache may be from allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Since I reported it previously, I got my period today, 5 days late, which is unusual for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
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2021-04-23
Survey response — day 35, dose 2MedDRA: Intermenstrual bleeding, Menstrual disorder — Feeling: GoodFree text: My menstrual cycle was weird again with mid cycle break through. I will be seeing my doctor next month.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-06-18
- 2021-09-17
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2021-11-28
Dose 3 — Moderna
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2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: CongestedMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-12
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2021-12-19
Survey response — day 21, dose 3MedDRA: Intermenstrual bleeding — Feeling: GoodFree text: Breakthrough spottingMedDRA releases: 2024-11 · check-in free text available
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2021-12-26
Survey response — day 28, dose 3MedDRA: Aphonia, Exposure to SARS-CoV-2, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I lost my voice and have some congestion. A close contact three days ago tested positive for Covid. So far the rapid tests are negative. I get a pcr on Tuesday.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
- 2022-01-09
- 2022-02-27
- 2022-05-29
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2022-09-11
Dose 4 — Moderna
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2022-09-11
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-12
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-09-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-18
- 2022-09-27
- 2022-10-02
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2022-10-09
Survey response — day 28, dose 4MedDRA: COVID-19, Pregnancy test positive — 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: I have Covid. I also got a positive pregnancy test.MedDRA releases: 2024-11 · check-in free text available
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2022-10-09
Report sent to call center — day 28, dose 4Be 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)
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2022-10-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-16
- 2022-10-23
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-28 | Moderna | No |
| 4 | 2022-09-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-09 | Successful 2022-10-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness/off feeling
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Headache could be related to allergies or PMS. My period is late and Im not pregnant. My cycle was off after the first shot as well.
Systemic reaction (other): I was supposed to get my period the day of my shot but have not gotten it yet. I am not pregnant. Note, my headache may be from allergies.
Systemic reaction (other): Since I reported it previously, I got my period today, 5 days late, which is unusual for me
Release 7 — day 35, dose 2
Symptoms: My menstrual cycle was weird again with mid cycle break through. I will be seeing my doctor next month.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Stuffy nose
Systemic reaction (other): Congested
Release 10 — day 21, dose 3
Symptoms: Breakthrough spotting
Release 10 — day 28, dose 3
Symptoms: I lost my voice and have some congestion. A close contact three days ago tested positive for Covid. So far the rapid tests are negative. I get a pcr on Tuesday.
Release 12 — day 28, dose 4
Symptoms: I have Covid. I also got a positive pregnancy test.
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 | Aphonia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Menstruation delayed | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release