EUG-22455-35479

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 814 / CO
Registered: 2021-04-15

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Moderna
2021-04-15
Survey response — day 0, dose 1
MedDRA: Palpitations — Feeling: Fair

Free text: Racing heart after the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Thrombosis, Unevaluable event — Feeling: Poor · Site: Pain, Redness · 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

Free text: Systemic reaction (other): Tested positive for blood clots in my leg today. Not necessarily related to vaccine. Recently had a foot surgery. · Healthcare visit (other): Ultrasound at hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — days 1–6 daily, dose 1
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)
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Thrombosis — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Blood clots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Report sent to call center — days 1–6 daily, dose 1
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)
2021-04-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 14, dose 1
MedDRA: Headache, Pyrexia — Feeling: Poor

Free text: Slightly feverish, headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Moderna
2021-05-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Thrombosis — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Blood clot in leg got worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain

Free text: Taking Xarelto for clot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 21, dose 2
MedDRA: Fatigue, Heavy menstrual bleeding, Thrombosis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue, 12 day heavy period from Xarelto, worsening blood clot in leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 21, 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)
2021-06-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-29
Call 2 — Left Voicemail
2022-01-04
Call 1 — Left Voicemail
2022-05-15
Survey response — 12 months, dose 2
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-05-13	Moderna

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-15

Systemic reaction (other): Racing heart after the vaccine

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Tested positive for blood clots in my leg today. Not necessarily related to vaccine. Recently had a foot surgery.

Healthcare visit (other): Ultrasound at hospital

2021-04-18

Systemic reaction (other): Blood clots

Release 8 — day 14, dose 1

2021-04-29

Symptoms: Slightly feverish, headache.

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Blood clot in leg got worse

2021-05-19

Systemic reaction (other): Taking Xarelto for clot.

Release 8 — day 7, dose 2

2021-05-20

Systemic reaction (other): Sore throat

Release 8 — day 21, dose 2

2021-06-03

Symptoms: Fatigue, 12 day heavy period from Xarelto, worsening blood clot in leg.

Release 11 — 12 months, dose 2

2022-05-15

Symptoms: Pregnant

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Thrombosis	✓	✓	✓

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