ZKZ-49616-58570
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 104 / NY
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-18
Dose 1 — Moderna
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2021-02-21
Registered in v-safe
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2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Abdominal painAdult check-in
- 2021-02-25
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2021-03-04
Survey response — day 14, dose 1MedDRA: Hypothyroidism — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Thyroid hypothyroidismMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-19
Survey response — 6 months, dose 1MedDRA: Food poisoning, Vitamin D decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Food poisoning. Low vitamin DMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
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2022-02-18
Survey response — 12 months, dose 1MedDRA: Abnormal menstrual clots, Abortion spontaneous, Hormone level abnormal, Menstruation delayed, Premenstrual syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Huge menstrual blood clots after last two vaccines. Had 2 early miscarriages both after 2nd shot. 2 huge delays in periods. 1 after the miscarriage and other after booster. Made me completely bonkers hormonal. Felt like My pms was increasing.MedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-02-21
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-04 | Successful | Participant prefers to complete VAERS report online |
| 2021-08-19 | Successful | Participant prefers to complete VAERS report online |
| 2022-02-18 | Successful 2022-02-21 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — day 14, dose 1
Symptoms: Thyroid hypothyroidism
Release 9 — 6 months, dose 1
Symptoms: Food poisoning. Low vitamin D
Release 11 — 12 months, dose 1
Symptoms: Huge menstrual blood clots after last two vaccines. Had 2 early miscarriages both after 2nd shot. 2 huge delays in periods. 1 after the miscarriage and other after booster. Made me completely bonkers hormonal. Felt like My pms was increasing.
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 | Abnormal menstrual clots | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Food poisoning | ✓ | · | ✓ |
| SD | Hormone level abnormal | · | · | ✓ |
| SD | Hypothyroidism | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Premenstrual syndrome | · | · | ✓ |
| SD | Vitamin D decreased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release