PWK-20799-85423
1 vaccination
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 120 / NY
- Registered
- 2021-07-30
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-27
Dose 1 — Moderna
-
2021-07-30
Registered in v-safe
-
2021-07-30
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy, Rest regimen, Retroplacental haematoma, Thrombosis — Feeling: Poor · Abdominal pain · 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 passed a massive blood clot and have a hematoma on my placenta and am 14 weeks pregnant. Im now forced into bedrest from this.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — days 1–6 daily, dose 1Be 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)
- 2021-08-03
-
2021-08-03
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-27 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I passed a massive blood clot and have a hematoma on my placenta and am 14 weeks pregnant. Im now forced into bedrest from this.
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 |
|---|---|---|---|---|
| SRO | Pregnancy | ✓ | · | ✓ |
| SRO | Rest regimen | ✓ | · | ✓ |
| SRO | Retroplacental haematoma | ✓ | · | ✓ |
| SRO | Thrombosis | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release