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59W-17017-34117

2 vaccinations 3 coded responses 11 check-ins 3 free-text entries 4 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
136 / NY
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Moderna
  2. 2021-01-07
    Registered in v-safe
  3. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  4. 2021-01-07
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Headache
    Adult check-in
  6. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  8. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-04
    Dose 2 — Moderna
  10. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-18
    Survey response — day 42, dose 2
    MedDRA: Heavy menstrual bleeding, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have had my period for 4 straight weeks (probably not covid shot related, but new, never experienced before) · Healthcare visit (other): Urgent bloodwork, urgent transactional ultrasound, urgent referral to OBGYN
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-18
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-08
    Survey response — 3 months, dose 2
    MedDRA: Anaemia, Menstrual disorder, Menstruation irregular, Ultrasound scan, Uterine dilation and curettage, Vaginal haemorrhage — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Symptoms: My period has been weird, I had to have a D&C and have become extremely anemic. I bled from February 18th until after the D&C which was April 14th. The only think different was I had the covid vaccine · Healthcare visit (other): STAT transvaginal ultrasound, and a D&C
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-08
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-06-09
  18. 2022-02-04
    Survey response — 12 months, dose 2
    MedDRA: Full blood count abnormal, Intrauterine contraception, Menstruation irregular, Uterine dilation and curettage — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Symptoms: Irregular periods to the point of low blood count · Healthcare visit (other): Surgical D&C and IUD placement
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-02-04
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  20. 2022-02-08
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-04Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-07 priority 2/3
2021-03-18 Successful Participant prefers to complete VAERS report online
2021-05-08 Successful Participant prefers to complete VAERS report online
2022-02-04 Successful
2022-02-08
Participant prefers to complete VAERS report online

Free text

Release 5 — day 42, dose 2

2021-03-18

Symptoms: I have had my period for 4 straight weeks (probably not covid shot related, but new, never experienced before)
Healthcare visit (other): Urgent bloodwork, urgent transactional ultrasound, urgent referral to OBGYN

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: My period has been weird, I had to have a D&C and have become extremely anemic. I bled from February 18th until after the D&C which was April 14th. The only think different was I had the covid vaccine
Healthcare visit (other): STAT transvaginal ultrasound, and a D&C

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Irregular periods to the point of low blood count
Healthcare visit (other): Surgical D&C and IUD placement

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
HCVOIntrauterine contraception · · ✓
HCVOMedical counselling ✓ ✓ ✓
HCVOUltrasound scan ✓ ✓ ○
HCVOUterine dilation and curettage ✓ ✓ ✓
SDAnaemia · · ✓
SDFull blood count abnormal · · ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDMenstrual disorder · · ✓
SDMenstruation irregular ✓ ✓ ✓
SDUterine dilation and curettage · · ✓
SDVaginal haemorrhage · · ✓

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