PR8-33848-03968
2 vaccinations
8 coded responses
17 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 231 / VA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-17
Registered in v-safe
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2021-03-17
Dose 1 — Moderna
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Emergency care, Heart rate increased, Heart rate irregular — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Fast heart beat and occasional irregular beat · Healthcare visit (other): EMT was called hospital was suggested tomorrow if heartbeat has not normalizedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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 consultationFree text: Fast heart beat around 105bpmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Vaginal haemorrhage — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: High heart rate 98-105 bpm at resting. Started spotted even though period isn't due for multiple weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Intermenstrual bleeding — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Heartbeat is 93-103 today. Still spotting and body is acting like I'm on a period two weeks early.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Menstrual disorder, Swollen tongue — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Heartbeat between 90 and 100 all say at resting. Period two weeks early. Swollen bump on base of tongue didn't know until today it could be related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Glossodynia, Heart rate increased, Intermenstrual bleeding, Menstruation irregular — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Heartbeat between 89 and 100 bpm. Still experiencing spotting/period symptoms two weeks early. Sore on tongue is smaller amd less painful today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 7, dose 1MedDRA: Intermenstrual bleeding, Menstruation irregular — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Early period after days of spotting immediately following vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-07
Survey response — day 21, dose 1MedDRA: Abortion spontaneous — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a miscarriage that started as soon as I got vaccinated the first time. Just found out for sure what it was last weekend when I passed it. No I don't want to answer questions I just wanted to give the data for othersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-14
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2021-04-21
Dose 2 — Moderna
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-28
Health check-in — day 7, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-22
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2022-01-20
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Successful | Participant prefers to complete VAERS report online |
| 2021-03-19 | Successful 2022-01-20 |
Participant prefers to complete VAERS report online |
| 2021-04-07 | Successful | Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Fast heart beat and occasional irregular beat
Healthcare visit (other): EMT was called hospital was suggested tomorrow if heartbeat has not normalized
Systemic reaction (other): Fast heart beat around 105bpm
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): High heart rate 98-105 bpm at resting. Started spotted even though period isn't due for multiple weeks
Systemic reaction (other): Heartbeat is 93-103 today. Still spotting and body is acting like I'm on a period two weeks early.
Systemic reaction (other): Heartbeat between 90 and 100 all say at resting. Period two weeks early. Swollen bump on base of tongue didn't know until today it could be related to the vaccine
Systemic reaction (other): Heartbeat between 89 and 100 bpm. Still experiencing spotting/period symptoms two weeks early. Sore on tongue is smaller amd less painful today.
Release 6 — day 7, dose 1
Systemic reaction (other): Early period after days of spotting immediately following vaccine
Release 7 — day 21, dose 1
Symptoms: I had a miscarriage that started as soon as I got vaccinated the first time. Just found out for sure what it was last weekend when I passed it. No I don't want to answer questions I just wanted to give the data for others
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release