CLZ-25710-39221
1 vaccination
2 coded responses
4 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 951 / CA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
-
2021-03-23
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-24
-
2021-09-23
Survey response — 6 months, dose 1MedDRA: Menstruation irregular, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Irregular period since 2nd shot · Healthcare visit (other): Test for hormone levelsMedDRA releases: 2024-11 · check-in free text available
-
2021-09-23
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-27
- 2021-09-30
-
2022-03-23
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Got pregnant and miscarried.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-23
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-03-24
-
2022-03-24
Callback requested for07:30PM ET
-
2022-03-24
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-23 | Successful | Participant prefers to complete VAERS report online |
| 2022-03-23 | Successful 2022-03-24 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — 6 months, dose 1
Symptoms: Irregular period since 2nd shot
Healthcare visit (other): Test for hormone levels
Release 11 — 12 months, dose 1
Symptoms: Got pregnant and miscarried.
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 | Unevaluable event | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release