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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

  1. 2021-03-17
    Registered in v-safe
  2. 2021-03-17
    Dose 1 — Moderna
  3. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 professional
    Free 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 normalized
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-18
    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)
  5. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 consultation
    Free text: Fast heart beat around 105bpm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-19
    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)
  7. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased, Vaginal haemorrhage — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work
    Free text: High heart rate 98-105 bpm at resting. Started spotted even though period isn't due for multiple weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Intermenstrual bleeding — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free 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
  9. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased, Menstrual disorder, Swollen tongue — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free 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 vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Glossodynia, Heart rate increased, Intermenstrual bleeding, Menstruation irregular — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free 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
  11. 2021-03-24
    Survey response — day 7, dose 1
    MedDRA: Intermenstrual bleeding, Menstruation irregular — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Early period after days of spotting immediately following vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-31
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-07
    Survey response — day 21, dose 1
    MedDRA: Abortion spontaneous — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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 others
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-07
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-04-14
    Health check-in — day 28, dose 1
    Feeling: Poor
    Adult check-in
  16. 2021-04-21
    Dose 2 — Moderna
  17. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  18. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  19. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  21. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  22. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  23. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-01-20
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-21Moderna

Call center

ReportedOutcomeVAERS-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

2021-03-18

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

2021-03-19

Systemic reaction (other): Fast heart beat around 105bpm

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): High heart rate 98-105 bpm at resting. Started spotted even though period isn't due for multiple weeks

2021-03-21

Systemic reaction (other): Heartbeat is 93-103 today. Still spotting and body is acting like I'm on a period two weeks early.

2021-03-22

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

2021-03-23

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

2021-03-24

Systemic reaction (other): Early period after days of spotting immediately following vaccine

Release 7 — day 21, dose 1

2021-04-07

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care ✓ ✓ ✓
SDAbortion spontaneous ✓ ✓ ✓
SROGlossodynia ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHeart rate irregular ✓ ✓ ✓
SROIntermenstrual bleeding ✓ ✓ ✓
SROMenstrual disorder ✓ ✓ ✓
SROMenstruation irregular ✓ ✓ ✓
SROSwollen tongue ✓ ✓ ✓
SROVaginal haemorrhage ✓ ✓ ✓

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