ZCP-28920-52011

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 970 / OR
Registered: 2021-05-22

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

2021-05-22
Registered in v-safe
2021-05-22
Dose 1 — Moderna
2021-05-22
Survey response — day 0, dose 1
MedDRA: Dry mouth, Oropharyngeal pain — Feeling: Good

Free text: Dry mouth/slight sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-29
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-06-05
Survey response — day 14, dose 1
MedDRA: Dysmenorrhoea, Erythema, Fatigue, Muscle spasms, Pain, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Painful menstruation after 6 mth of no periods: occurred 7 days Post-shot. Cramping, extreme tiredness, fog. A new, larger red patch appeared on my arm same day; lasted 1 week. Hot, sometimes itchy/sore; isolated to a 2.5 in rectangle on my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-19
Dose 2 — Moderna
2021-06-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-23
Survey response — days 1–6 daily, dose 2
MedDRA: Vaginal haemorrhage — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vaginal bleeding - no, it is not a menstrual period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — days 1–6 daily, dose 2
MedDRA: Vaginal haemorrhage — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vaginal bleeding - not menstrual period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — day 7, dose 2
MedDRA: Office visit, Vaginal haemorrhage — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Vaginal bleeding - not menstrual period · Healthcare visit (other): Acupuncture treatment. It helped a ton.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — day 7, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-22	Moderna
2	2021-06-19	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-26	Unsuccessful

Free text

Release 8 — day 0, dose 1

2021-05-22

Systemic reaction (other): Dry mouth/slight sore throat

Release 8 — day 14, dose 1

2021-06-05

Symptoms: Painful menstruation after 6 mth of no periods: occurred 7 days Post-shot. Cramping, extreme tiredness, fog. A new, larger red patch appeared on my arm same day; lasted 1 week. Hot, sometimes itchy/sore; isolated to a 2.5 in rectangle on my arm.

Release 9 — days 1–6 daily, dose 2

2021-06-23

Systemic reaction (other): Vaginal bleeding - no, it is not a menstrual period.

2021-06-24

Systemic reaction (other): Vaginal bleeding - not menstrual period

Release 9 — day 7, dose 2

2021-06-26

Systemic reaction (other): Vaginal bleeding - not menstrual period

Healthcare visit (other): Acupuncture treatment. It helped a ton.

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	Dysmenorrhoea	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Vaginal haemorrhage	✓	✓	✓

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