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4QM-10948-62851

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
212 / MD
Registered
2021-04-18
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-17
    Dose 1 — Moderna
  2. 2021-04-18
    Registered in v-safe
  3. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hiccups — Feeling: Fair · Site: Pain
    Free text: Hiccups
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-24
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches
    Free text: Due to my knee an leg problems
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-10
    Survey response — day 21, dose 1
    MedDRA: Ear pain, Respiratory tract congestion — Feeling: Fair
    Free text: Just seems like I have a congestive cold with left ear pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-15
    Dose 2 — Moderna
  7. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abnormal menstrual clots, Menstruation irregular — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Came on my period,out of nowhere the day I received the shot ,I have had blood clots like never before,an Ian already a heavy bleeder but the week before shot I have been spotting here an there for bout a week an that was BEFORE shot same day of shot I have bleeder heavy with brownish blood an also heard some thick blood drop in the toilet,I didn't know what it was at first
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-22
    Survey response — day 7, dose 2
    MedDRA: Haemorrhage, Thrombosis — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: I have been bleeding since th day of my second shot,just about everytime I go to the bathroom blood clots of blob fall in the toilet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-31
    Survey response — day 14, dose 2
    MedDRA: Haemorrhage, Thrombosis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I have been bleeding constantly with blood clots,have been given megestrol acetate to stop it now it's coming backck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-31
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-11-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-02-17

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Moderna
22021-05-15Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Hiccups

Release 7 — day 7, dose 1

2021-04-24

Systemic reaction (other): Due to my knee an leg problems

Release 8 — day 21, dose 1

2021-05-10

Symptoms: Just seems like I have a congestive cold with left ear pain

Release 8 — days 1–6 daily, dose 2

2021-05-18

Systemic reaction (other): Came on my period,out of nowhere the day I received the shot ,I have had blood clots like never before,an Ian already a heavy bleeder but the week before shot I have been spotting here an there for bout a week an that was BEFORE shot same day of shot I have bleeder heavy with brownish blood an also heard some thick blood drop in the toilet,I didn't know what it was at first

Release 8 — day 7, dose 2

2021-05-22

Systemic reaction (other): I have been bleeding since th day of my second shot,just about everytime I go to the bathroom blood clots of blob fall in the toilet

Release 8 — day 14, dose 2

2021-05-31

Symptoms: I have been bleeding constantly with blood clots,have been given megestrol acetate to stop it now it's coming backck

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
SDEar pain ✓ ✓ ✓
SDHaemorrhage ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDThrombosis ✓ ✓ ✓
SROAbnormal menstrual clots ✓ ✓ ✓
SROHaemorrhage ✓ ✓ ✓
SROHiccups ✓ ✓ ✓
SROMenstruation irregular ✓ ✓ ✓
SROThrombosis ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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