YWR-19836-67069
3 vaccinations
5 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 554 / MN
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Moderna
- 2021-04-02
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Gait disturbance — Feeling: GoodFree text: last night, about 9:30 I suddenly felt extremely tired, to the point where I felt unsteady on my feet and almost unsafe going upstairs and getting ready for bed. Woke at around 1 am and went to the bathroom, still very unsteady. Fine in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
-
2021-04-17
Survey response — day 14, dose 1MedDRA: Heavy menstrual bleeding, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 10 days after vaccine, after 5+ years if menopause, had 2 days of menstruales bleeding. My Gyn said they have had a handful of other patients have same thing after vaccine. · Healthcare visit (other): They are having me come in for testing to rule out anything more serious. But based on experience with several other women, think its a vaccine side effectMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
- 2021-04-30
-
2021-05-05
Dose 2 — Moderna
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Brain fog and moderate sore arm yesterday - the day after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-09
- 2021-05-10
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: light menstrual bleeding, 5+ years after menopause. I had this after 1st vaccine, Gyn did tests, said there is no medical reason. Thinks it is due to vaccine. Other similar patients have reported same.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-08-04
- 2021-11-03
-
2021-11-28
Dose 3 — Moderna
- 2021-11-28
-
2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-02-24
- 2022-02-27
-
2022-05-29
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-11-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-17 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): last night, about 9:30 I suddenly felt extremely tired, to the point where I felt unsteady on my feet and almost unsafe going upstairs and getting ready for bed. Woke at around 1 am and went to the bathroom, still very unsteady. Fine in the morning.
Release 7 — day 14, dose 1
Symptoms: 10 days after vaccine, after 5+ years if menopause, had 2 days of menstruales bleeding. My Gyn said they have had a handful of other patients have same thing after vaccine.
Healthcare visit (other): They are having me come in for testing to rule out anything more serious. But based on experience with several other women, think its a vaccine side effect
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog and moderate sore arm yesterday - the day after vaccine
Systemic reaction (other): light menstrual bleeding, 5+ years after menopause. I had this after 1st vaccine, Gyn did tests, said there is no medical reason. Thinks it is due to vaccine. Other similar patients have reported same.
Release 11 — 6 months, dose 3
Symptoms: Covid
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 | Office visit | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release