377-99276-69253
3 vaccinations
2 coded responses
27 check-ins
2 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 125 / NY
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
- 2021-01-20
- 2021-01-27
-
2021-02-05
Dose 2 — Moderna
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body achesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-08-06
-
2021-12-23
Dose 3 — Moderna
- 2021-12-23
-
2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-12-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-12-28
- 2021-12-29
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-22
- 2022-01-27
- 2022-02-03
-
2022-03-24
Survey response — 3 months, dose 3MedDRA: Heavy menstrual bleeding, Menstrual clots — Feeling: Good · Be unable to do your normal daily activitiesFree text: Heavy bleeding on my monthly period& lots of clotsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-23
Survey response — 6 months, dose 3MedDRA: Haemorrhage, Thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heavy bleeding & clotsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-23
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-24
Call successfulDoes not wish to fill out VAERS report
- 2022-12-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-12-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-23 | Successful 2022-06-24 |
Does not wish to fill out VAERS report |
Free text
Release 11 — 3 months, dose 3
Symptoms: Heavy bleeding on my monthly period& lots of clots
Release 12 — 6 months, dose 3
Symptoms: Heavy bleeding & clots
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 | Haemorrhage | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstrual clots | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release