H3W-26496-87544
2 vaccinations
2 coded responses
20 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 432 / OH
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-14
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-03
Dose 2 — Moderna
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-05-05
Survey response — 3 months, dose 2MedDRA: Postmenopausal haemorrhage, Surgery, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Started bleeding even though I am post menopausal, but I am also on hormone replacement. The start of hormone replacement was 11/2020, but I didn't start bleeding again until after the first vaccine. I had to have a D&C, but I bled again 2 wks later. · Healthcare visit (other): Outpatient surgeryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
-
2022-02-03
Survey response — 12 months, dose 2MedDRA: Ageusia, Anosmia, COVID-19, Conjunctivitis, Fatigue, Pain, Productive cough, Pyrexia, Sinus congestion — Feeling: Good · Be unable to work or attend schoolFree text: I had COVID January, 2022. Fever, aches, productive cough and sinus congestion pink eye, loss of taste and smell, fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-05 | Unsuccessful |
Free text
Release 8 — 3 months, dose 2
Symptoms: Started bleeding even though I am post menopausal, but I am also on hormone replacement. The start of hormone replacement was 11/2020, but I didn't start bleeding again until after the first vaccine. I had to have a D&C, but I bled again 2 wks later. cut off by CDC
Healthcare visit (other): Outpatient surgery
Release 11 — 12 months, dose 2
Symptoms: I had COVID January, 2022. Fever, aches, productive cough and sinus congestion pink eye, loss of taste and smell, fatigue.
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 | Surgery | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Postmenopausal haemorrhage | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Uterine dilation and curettage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release