XEL-34028-08290

2 vaccinations 13 coded responses 22 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 727 / AR
Registered: 2021-07-09

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-07-08
Dose 1 — Moderna
2021-07-09
Registered in v-safe
2021-07-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: menstrual cramping (period not due for almost 3 weeks)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-07-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-07-14
Survey response — days 1–6 daily, dose 1
MedDRA: Flatulence — Feeling: Fair · Fatigue or tiredness

Free text: Gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-07-31
Survey response — day 21, dose 1
MedDRA: Heavy menstrual bleeding, Menstruation irregular, Premenstrual syndrome — Feeling: Fair

Free text: Period and PMS symptoms longer and more intense than usual.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Dose 2 — Moderna
2021-08-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-08-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-08-08
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Insomnia

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-08-11
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Headache, Fatigue or tiredness

Free text: brain fog; difficult to focus

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Survey response — day 7, dose 2
MedDRA: Breast tenderness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tender breasts

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-09-09
Survey response — day 35, dose 2
MedDRA: Adnexa uteri pain, Brain fog, Irritability, Loss of libido, Neck pain, Pre-existing disease, Scar pain, Vision blurred — Feeling: Poor

Free text: Zero libido when high libido is the norm. Brain fog. Cervix/ovaries randomly ache. Vision feels blurry even with contacts. Old scars hurt. Irritable.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — day 42, dose 2
MedDRA: Adnexa uteri pain, Dizziness, Hot flush, Intermenstrual bleeding, Orgasm abnormal — Feeling: Fair

Free text: Menstrual Spotting middle of cycle, ovary aches, difficulty orgasming. Dizziness. Heat flash.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — 3 months, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair

Free text: Numbness or pins and needles sensation in hands and feet. It's not constant but occurs randomly even though nothing is cutting off circulation. It feeling is not severe but it's enough for me to notice it.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Survey response — 6 months, dose 2
MedDRA: Office visit, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pregnancy · Healthcare visit (other): Regular doctor appointment

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-31
Call 1 — Left Voicemail
2022-08-05
Survey response — 12 months, dose 2
MedDRA: Delivery, Dizziness, Gestational hypertension, Hospitalisation, Hypotension — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Pregnancy, pregnancy induced hypertension, birth, low blood pressure, dizziness · Healthcare visit (other): Hospitalization for birth

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-08
Call 2 — Left Voicemail
2022-08-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-08	Moderna	No
2	2021-08-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-03	Unsuccessful
2022-08-05	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-09

Systemic reaction (other): menstrual cramping (period not due for almost 3 weeks)

2021-07-10

Systemic reaction (other): Cramping

2021-07-11

Systemic reaction (other): Itching

2021-07-14

Systemic reaction (other): Gas

Release 9 — day 21, dose 1

2021-07-31

Symptoms: Period and PMS symptoms longer and more intense than usual.

Release 9 — days 1–6 daily, dose 2

2021-08-08

Systemic reaction (other): Insomnia

2021-08-11

Systemic reaction (other): brain fog; difficult to focus

Release 9 — day 7, dose 2

2021-08-12

Systemic reaction (other): Tender breasts

Release 9 — day 35, dose 2

2021-09-09

Symptoms: Zero libido when high libido is the norm. Brain fog. Cervix/ovaries randomly ache. Vision feels blurry even with contacts. Old scars hurt. Irritable.

Release 9 — day 42, dose 2

2021-09-16

Symptoms: Menstrual Spotting middle of cycle, ovary aches, difficulty orgasming. Dizziness. Heat flash.

Release 10 — 3 months, dose 2

2021-11-07

Symptoms: Numbness or pins and needles sensation in hands and feet. It's not constant but occurs randomly even though nothing is cutting off circulation. It feeling is not severe but it's enough for me to notice it.

Release 11 — 6 months, dose 2

2022-02-03

Symptoms: Pregnancy

Healthcare visit (other): Regular doctor appointment

Release 12 — 12 months, dose 2

2022-08-05

Symptoms: Pregnancy, pregnancy induced hypertension, birth, low blood pressure, dizziness

Healthcare visit (other): Hospitalization for birth

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
HCVO	Delivery	·	·	✓
HCVO	Hospitalisation	·	·	✓
HCVO	Office visit	·	·	✓
SD	Adnexa uteri pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Delivery	·	·	✓
SD	Dizziness	·	·	✓
SD	Gestational hypertension	·	·	✓
SD	Heavy menstrual bleeding	✓	·	✓
SD	Hot flush	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Hypotension	·	·	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Irritability	·	·	✓
SD	Loss of libido	·	·	✓
SD	Menstruation irregular	✓	·	✓
SD	Neck pain	·	·	✓
SD	Orgasm abnormal	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Premenstrual syndrome	✓	·	✓
SD	Scar pain	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Brain fog	✓	·	✓
SRO	Breast tenderness	✓	·	✓
SRO	Disturbance in attention	✓	·	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Insomnia	✓	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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