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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

  1. 2021-03-13
    Dose 1 — Moderna
  2. 2021-04-10
    Dose 2 — Moderna
  3. 2021-04-28
    Registered in v-safe
  4. 2021-04-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-05-01
    Survey response — day 21, dose 2
    MedDRA: Amenorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Missed period. Confirmed that I am not pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-01
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-07-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-10-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  12. 2022-04-12
    Survey response — 12 months, dose 2
    MedDRA: Cutaneous vasculitis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Leukocytoclastic vasculitis
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-04-12
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  14. 2022-04-13

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna
22021-04-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-01 Unsuccessful
2022-04-12 Unsuccessful

Free text

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Missed period. Confirmed that I am not pregnant

Release 11 — 12 months, dose 2

2022-04-12

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

FieldPreferred term2021-092023-042024-11
SDAmenorrhoea ✓ ✓ ✓
SDCutaneous vasculitis · · ✓

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