3QD-30796-56262
2 vaccinations
1 coded response
4 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 063 / CT
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-03-22
Registered in v-safe
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-04-17
Dose 2 — Moderna
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Emergency care, Medical observation, Unevaluable event, Uterine contractions abnormal, Uterine contractions during pregnancy, Uterine irritability — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Systemic reaction (other): Uterine Contractions which sent me to the hospital but dr said it was not labor, just uterine irritation most likely caused by COVID SHOT · Healthcare visit (other): Observation is labor and deliveryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-13
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-18 | Successful 2021-05-13 |
Does not wish to fill out VAERS report |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Uterine Contractions which sent me to the hospital but dr said it was not labor, just uterine irritation most likely caused by COVID SHOT
Healthcare visit (other): Observation is labor and delivery
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 | Medical observation | ✓ | · | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SRO | Emergency care | ✓ | · | ✓ |
| SRO | Uterine contractions abnormal | ○ | ✓ | ○ |
| SRO | Uterine contractions during pregnancy | ✓ | · | ✓ |
| SRO | Uterine irritability | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release