Z4J-95438-99858
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 515 / IA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
- 2021-01-19
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-23
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-30
-
2021-02-13
Dose 2 — Moderna
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · HeadacheAdult check-in
- 2021-02-22
- 2021-02-27
- 2021-03-09
- 2021-04-01
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2021-05-15
Survey response — 3 months, dose 2MedDRA: Dysmenorrhoea, Vaginal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Dysmennorrhea, 20 days of vaginal bleeding, jad to take progesterone and will be recieving a biopsyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-15
Survey response — 6 months, dose 2MedDRA: Office visit, Oligomenorrhoea, Surgery, Uterine dilation and curettage — 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 · HospitalizationFree text: Symptoms: No hx of prolonged menstrual bleeding, hx of menstrual bleeding x6 days at most. Moderate menstrual bleeding from July 2nd to July 28, only resolved due to surgery of D and C on July 28th · Healthcare visit (other): PCP visit, surgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-15
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-12-20
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Unevaluable event, Uterine dilation and curettage — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Did a D&C die to menstrual bleeding for over 30 days in 06/2021...MedDRA releases: 2024-11 · check-in free text available
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2022-02-13
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-18
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-15 | Unsuccessful | |
| 2021-08-15 | Unsuccessful | |
| 2022-02-13 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 8 — 3 months, dose 2
Symptoms: Dysmennorrhea, 20 days of vaginal bleeding, jad to take progesterone and will be recieving a biopsy
Release 9 — 6 months, dose 2
Symptoms: No hx of prolonged menstrual bleeding, hx of menstrual bleeding x6 days at most. Moderate menstrual bleeding from July 2nd to July 28, only resolved due to surgery of D and C on July 28th
Healthcare visit (other): PCP visit, surgery
Release 11 — 12 months, dose 2
Symptoms: Did a D&C die to menstrual bleeding for over 30 days in 06/2021...
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 | ✓ | · | ✓ |
| HCVO | Surgery | ✓ | · | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Oligomenorrhoea | ✓ | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Uterine dilation and curettage | ✓ | · | ✓ |
| SD | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release