Z6H-23976-45444
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 662 / KS
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
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2021-01-05
Survey response — day 0, dose 1MedDRA: Dizziness, Feeling abnormal, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Feeling a little out of it and a little dizzy but that happens sometimes when i get vaccinesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site haemorrhage — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Just a little bruising where the injection site was, i did bleed a bit from the shot thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, NauseaAdult check-in
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Vaccination site bruising — Feeling: GoodFree text: Bruise from vaccination siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-21
- 2021-01-26
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2021-02-02
Dose 2 — Moderna
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2021-02-09
Survey response — day 7, dose 2MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: After i got my second dose i started my period 30 minutes after. I am on birth control and am not pregnant so it was very weirdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-19
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2022-02-02
Survey response — 12 months, dose 2MedDRA: Condition aggravated, Menstrual disorder, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: The vaccine completely changed my menstrual cycle as well as my mental healthMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-11
- 2022-02-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-02 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Feeling a little out of it and a little dizzy but that happens sometimes when i get vaccines
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Just a little bruising where the injection site was, i did bleed a bit from the shot though
Systemic reaction (other): Bruise from vaccination site
Release 3 — day 7, dose 2
Systemic reaction (other): After i got my second dose i started my period 30 minutes after. I am on birth control and am not pregnant so it was very weird
Release 11 — 12 months, dose 2
Symptoms: The vaccine completely changed my menstrual cycle as well as my mental health
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 | Condition aggravated | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site haemorrhage | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Vaccination site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release