H8H-63785-67816
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 058 / VT
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-22
- 2021-04-23
-
2021-04-30
Survey response — day 14, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: Irregular period since vaccination-very longMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — day 21, dose 2MedDRA: Rash — Feeling: GoodFree text: Rash, maybe related but maybe notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Survey response — day 28, dose 2MedDRA: Intermenstrual bleeding, Menstruation irregular — Feeling: GoodFree text: Irregular menstrual spotting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 35, dose 2MedDRA: Abdominal pain, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Strange abdominal cramping, continued menses irregularity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
-
2021-07-16
Survey response — 3 months, dose 2MedDRA: Ectopic pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I had an ectopic pregnancy. Probably not related.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-16
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-20
- 2021-10-15
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Influenza, Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have flu A and pregnancy. Neither are vaccine related.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-16 | Unsuccessful |
Free text
Release 8 — day 14, dose 2
Symptoms: Irregular period since vaccination-very long
Release 8 — day 21, dose 2
Symptoms: Rash, maybe related but maybe not
Release 8 — day 28, dose 2
Symptoms: Irregular menstrual spotting.
Release 8 — day 35, dose 2
Symptoms: Strange abdominal cramping, continued menses irregularity.
Release 9 — 3 months, dose 2
Symptoms: I had an ectopic pregnancy. Probably not related.
Release 11 — 12 months, dose 2
Symptoms: I have flu A and pregnancy. Neither are vaccine related.
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Ectopic pregnancy | ✓ | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release