YR8-52837-70747
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 660 / KS
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Pre-existing disease, Vaginal haemorrhage — Feeling: Good · Abdominal painFree text: I have endometriosis and take a daily oral contraceptive to control my symptoms. Since the day after my injection and continuing to today I have had minor abdominal cramping and today I had some minor spotting. This is uncommon for me and I did not miss a dose of my contraceptive pill so this may be a side effect of the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: Warmth at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-05-02
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-08
-
2022-04-09
Survey response — 12 months, dose 2MedDRA: Pruritus, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had itchy and persistent hives for a period of about 2-3 months that had no easily identifiable cause.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-09
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-09 | Successful 2022-04-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have endometriosis and take a daily oral contraceptive to control my symptoms. Since the day after my injection and continuing to today I have had minor abdominal cramping and today I had some minor spotting. This is uncommon for me and I did not miss a dose of my contraceptive pill so this may be a side effect of the vaccination.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Warmth at injection site
Release 11 — 12 months, dose 2
Symptoms: I had itchy and persistent hives for a period of about 2-3 months that had no easily identifiable cause.
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 | Pruritus | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release