44R-27704-67572
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 436 / OH
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Moderna
-
2021-04-10
Dose 2 — Moderna
-
2021-04-28
Registered in v-safe
- 2021-04-28
-
2021-05-01
Survey response — day 21, dose 2MedDRA: Amenorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Missed period. Confirmed that I am not pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-12
- 2021-10-11
-
2022-04-12
Survey response — 12 months, dose 2MedDRA: Cutaneous vasculitis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Leukocytoclastic vasculitisMedDRA releases: 2024-11 · check-in free text available
-
2022-04-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-01 | Unsuccessful | |
| 2022-04-12 | Unsuccessful |
Free text
Release 8 — day 21, dose 2
Symptoms: Missed period. Confirmed that I am not pregnant
Release 11 — 12 months, dose 2
Symptoms: Leukocytoclastic vasculitis
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 | Amenorrhoea | ✓ | ✓ | ✓ |
| SD | Cutaneous vasculitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release