62E-19719-29529
3 vaccinations
6 coded responses
35 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 920 / CA
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-22
Registered in v-safe
-
2021-04-22
Dose 1 — Moderna
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Palpitations — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Dizziness, occasional racing heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-04-25
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: GoodFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-05-06
-
2021-05-13
Survey response — day 21, dose 1MedDRA: Heavy menstrual bleeding, Menstrual clots — Feeling: GoodFree text: Menstrual cycle started on time (5/8) but was twice as heavy as my normal cycle. On the worst day, I bled through my feline hygiene products twice as fast and had blood clots the size of a dime. Otherwise, no additional symptoms (i.e., cramping).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Dose 2 — Moderna
-
2021-05-20
Survey response — day 0, dose 2MedDRA: Dizziness, Palpitations — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Dizziness with racing heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-06-03
- 2021-06-11
-
2021-06-18
Survey response — day 28, dose 2MedDRA: Menstruation delayed — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Delayed menstrual cycle - over one week - with two negative pregnancy testsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
- 2021-06-24
-
2021-06-25
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-02
- 2021-08-19
-
2021-11-19
Survey response — 6 months, dose 2MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Loss of personal independence in daily activities, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Worsening menstrual cycle. Missed the first period after vaccination. Second and third periods were over twice as heavy with large clots. Unable to resume normal activities during period due to heavier than normal bleeding for 1-2 days each cycle.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
-
2022-10-12
Dose 3 — Pfizer-BioNTech
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-20 | Moderna | |
| 3 | 2022-10-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-18 | Successful 2021-06-25 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness, occasional racing heart rate
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Insomnia
Release 8 — day 21, dose 1
Symptoms: Menstrual cycle started on time (5/8) but was twice as heavy as my normal cycle. On the worst day, I bled through my feline hygiene products twice as fast and had blood clots the size of a dime. Otherwise, no additional symptoms (i.e., cramping).
Release 8 — day 0, dose 2
Systemic reaction (other): Dizziness with racing heart rate
Release 9 — day 28, dose 2
Symptoms: Delayed menstrual cycle - over one week - with two negative pregnancy tests
Release 10 — 6 months, dose 2
Symptoms: Worsening menstrual cycle. Missed the first period after vaccination. Second and third periods were over twice as heavy with large clots. Unable to resume normal activities during period due to heavier than normal bleeding for 1-2 days each cycle.
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 | Abnormal menstrual clots | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Menstrual clots | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release