KMZ-27528-02323

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 194 / PA
Registered: 2021-01-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-13
Dose 1 — Moderna
2021-01-14
Registered in v-safe
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Flushing immediately following vaccine for one hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Breast tenderness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Breast tenderness (odd because havent had period for 5 years)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Medical counselling, Postmenopause, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Vagina spotting despite post menopausal. · Healthcare visit (other): Outpatient in person appt with gynecological oncology specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 28, dose 2
MedDRA: Breast tenderness, Hypomenorrhoea, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: After the 2nd vaccine, experienced significant breast tenderness and got light period for 7 days after not having a period for 5 years. ultrasound of ovaries normal. had D&C yesterday for biopsy today to rule out. No explanation and very weird Timing · Healthcare visit (other): See above

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Call 1 — Left Voicemail
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Hysterectomy, Lymph node pain, Ovarian cyst, Postmenopausal haemorrhage, Surgery, Ultrasound ovary abnormal — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Period after being 5 years post menopausal. Full hysterectomy. Sudden cysts on ovaries within 6 month timeframe with evidence from ultrasound. Lymph pain in armpits. Waiting for ultrasound appt. Severe regret for getting vax. · Healthcare visit (other): 2 surgeries and $4000; ongoing procedures

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail
2022-02-16
Call 2 — Left Voicemail
2022-02-16
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-14	priority 2/3
2021-03-03	Successful	Participant prefers to complete VAERS report online
2021-03-11	Successful	Participant prefers to complete VAERS report online
2022-02-10	Successful 2022-02-16	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Flushing immediately following vaccine for one hour

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Breast tenderness (odd because havent had period for 5 years)

Release 4 — day 21, dose 2

2021-03-03

Symptoms: Vagina spotting despite post menopausal.

Healthcare visit (other): Outpatient in person appt with gynecological oncology specialist

Release 5 — day 28, dose 2

2021-03-11

Symptoms: After the 2nd vaccine, experienced significant breast tenderness and got light period for 7 days after not having a period for 5 years. ultrasound of ovaries normal. had D&C yesterday for biopsy today to rule out. No explanation and very weird Timing cut off by CDC

Healthcare visit (other): See above

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Period after being 5 years post menopausal. Full hysterectomy. Sudden cysts on ovaries within 6 month timeframe with evidence from ultrasound. Lymph pain in armpits. Waiting for ultrasound appt. Severe regret for getting vax.

Healthcare visit (other): 2 surgeries and $4000; ongoing procedures

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	Medical counselling	✓	✓	✓
HCVO	Surgery	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Hypomenorrhoea	✓	✓	✓
SD	Hysterectomy	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Ovarian cyst	·	·	✓
SD	Postmenopausal haemorrhage	·	·	✓
SD	Postmenopause	✓	✓	✓
SD	Ultrasound ovary abnormal	·	·	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓

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