4ZR-12866-08137
3 vaccinations
4 coded responses
26 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 070 / NJ
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Metallic taste in my mouth soon after shot. 30 minutes after shot it started and I still taste it today especially when drinking water.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-25
- 2021-05-02
-
2021-05-07
Survey response — day 42, dose 2MedDRA: Menopause, Office visit, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Im in menopause and had bleeding for 4 days. It happened about 10 days after second shot. I since had ultrasounds done and all is normal. Not sure if shot had anything to do with it. Just making you aware. · Healthcare visit (other): GynecologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-25
Survey response — 3 months, dose 2MedDRA: Postmenopausal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Post menopausal bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-30
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-11
Dose 3 — Moderna
- 2021-09-24
-
2021-10-29
Survey response — day 42, dose 3MedDRA: Hypomenorrhoea, Postmenopausal haemorrhage, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Light menstrual bleeding. Very light. I'm post menopausal. Went to get tests and all tests are good. So I found it strange at this age to get a period. 2 times since start of vaccines. · Healthcare visit (other): Pelvic ultrasoundMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-01
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-11
- 2022-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-09-11 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Metallic taste in my mouth soon after shot. 30 minutes after shot it started and I still taste it today especially when drinking water.
Release 8 — day 42, dose 2
Symptoms: Im in menopause and had bleeding for 4 days. It happened about 10 days after second shot. I since had ultrasounds done and all is normal. Not sure if shot had anything to do with it. Just making you aware.
Healthcare visit (other): Gynecologist
Release 9 — 3 months, dose 2
Symptoms: Post menopausal bleeding
Release 10 — day 42, dose 3
Symptoms: Light menstrual bleeding. Very light. I'm post menopausal. Went to get tests and all tests are good. So I found it strange at this age to get a period. 2 times since start of vaccines.
Healthcare visit (other): Pelvic ultrasound
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Hypomenorrhoea | · | · | ✓ |
| SD | Menopause | ✓ | ✓ | ✓ |
| SD | Postmenopausal haemorrhage | ✓ | ✓ | ✓ |
| SD | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release