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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

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
1523381 (opens in a new window) high 9 / 11 — 1 of 6 VAERS symptoms same dose (1) NY matches 2021-07-27 / 2021-07-29 / 2021-08-03
received the same day as the last call
case 897542

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

  1. 2021-07-27
    Dose 1 — Moderna
  2. 2021-07-30
    Registered in v-safe
  3. 2021-07-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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, Hospitalization
    Free 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
  4. 2021-07-30
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  5. 2021-08-03
  6. 2021-08-03
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-07-27Moderna No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-30

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

FieldPreferred term2021-092023-042024-11
SROPregnancy ✓ · ✓
SRORest regimen ✓ · ✓
SRORetroplacental haematoma ✓ · ✓
SROThrombosis ✓ · ✓

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