D93-68819-26216
3 vaccinations
1 coded response
26 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 314 / GA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-31
- 2021-02-07
-
2021-02-14
Dose 2 — Moderna
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-05-16
- 2021-08-16
-
2021-09-01
Dose 3 — Moderna
- 2021-12-01
- 2022-03-04
-
2022-09-01
Survey response — 12 months, dose 3MedDRA: Office visit, Uterine polyp, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had some vaginal bleeding which resulted in non- malignant polyps that have to be removed. I am scheduled for a D & c next week. No other issues or problems. · Healthcare visit (other): Doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2022-09-01
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-09-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-09-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-01 | Successful 2022-09-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — 12 months, dose 3
Symptoms: I had some vaginal bleeding which resulted in non- malignant polyps that have to be removed. I am scheduled for a D & c next week. No other issues or problems.
Healthcare visit (other): Doctor visit
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 | · | · | ✓ |
| SD | Uterine polyp | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release