Y4L-77589-83295

5 vaccinations 11 coded responses 46 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 612 / IL
Registered: 2021-03-21

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Moderna
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-18
Dose 2 — Moderna
2021-04-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ibuprofen has helped with symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dysmenorrhoea, Menstrual disorder, Vaccine positive rechallenge — Feeling: Poor · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Like the first vaccine dose, the second has also triggered my menstrual cycle. Like the first time, my menstrual pain is significant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Survey response — day 35, dose 2
MedDRA: Breast tenderness, Muscular weakness, Myalgia — Feeling: Fair

Free text: After the 2nd vaccine shot, I have had breast tenderness, some muscle pain/weakness. I also started my menstrual cycle within 48 hours of each vaccine. However, after the first vaccine I felt like I had more mental clarity and energy after 1 week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Cardiac disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I am having issues with my heart.

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-08-16
Dose 3 — Moderna
2022-04-29
Dose 4 — Moderna
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Again, as with EACH vaccine dose, I started menstruating the day after my shot..

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The vaccine has triggered my menstrual cycle.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Menstruation irregular, Pain — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The vaccine triggered my menstrual cycle. Having pain.

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Survey response — days 1–6 daily, dose 4
MedDRA: Menstrual disorder — Feeling: Good · Fatigue or tiredness

Free text: The vaccine triggered my menstrual cycle.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — days 1–6 daily, dose 4
MedDRA: Menstruation irregular, Vaccine positive rechallenge — Feeling: Fair · Fatigue or tiredness

Free text: The vaccine like all previous doses, triggered my menstrual cycle.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-27
Dose 5 — Moderna
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-01
Survey response — days 1–6 daily, dose 5
MedDRA: Menstruation irregular, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: This vaccine, as with the previous vaccines has triggered my menstrual cycle. Again, it is not my time of the month.

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — days 1–6 daily, dose 5
MedDRA: Menstruation irregular — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The vaccine triggered my menstrual cycle.

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-13
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-29
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-28
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-18	Moderna
3	2021-08-16	Moderna	No
4	2022-04-29	Moderna	No
5	2022-09-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-18	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Ibuprofen has helped with symptoms.

2021-04-24

Systemic reaction (other): Like the first vaccine dose, the second has also triggered my menstrual cycle. Like the first time, my menstrual pain is significant.

Release 8 — day 35, dose 2

2021-05-23

Symptoms: After the 2nd vaccine shot, I have had breast tenderness, some muscle pain/weakness. I also started my menstrual cycle within 48 hours of each vaccine. However, after the first vaccine I felt like I had more mental clarity and energy after 1 week.

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: I am having issues with my heart.

Release 11 — days 1–6 daily, dose 4

2022-04-30

Systemic reaction (other): Again, as with EACH vaccine dose, I started menstruating the day after my shot..

2022-05-01

Systemic reaction (other): The vaccine has triggered my menstrual cycle.

2022-05-02

Systemic reaction (other): The vaccine triggered my menstrual cycle. Having pain.

2022-05-03

Systemic reaction (other): The vaccine triggered my menstrual cycle.

2022-05-04

Systemic reaction (other): The vaccine like all previous doses, triggered my menstrual cycle.

Release 12 — days 1–6 daily, dose 5

2022-10-01

Systemic reaction (other): This vaccine, as with the previous vaccines has triggered my menstrual cycle. Again, it is not my time of the month.

2022-10-02

Systemic reaction (other): The vaccine triggered my menstrual cycle.

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	Breast tenderness	✓	✓	✓
SD	Cardiac disorder	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Pain	·	·	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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