R22-11145-04911
3 vaccinations
4 coded responses
38 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 029 / RI
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-12
- 2021-02-19
-
2021-02-26
Survey response — day 21, dose 1MedDRA: Vaginal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Im trying to conceive and noticed spotting after ovulation. I dont know yet if Im pregnant. I do not associate this with the vaccine - its just a new health condition that Im monitoring.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tirednessFree text: Last night my heart felt like it was racingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Ageusia, Cough, Fatigue, Headache, Malaise, Nausea, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, 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: All COVID symptoms. Cough fever loss of taste congestion fatigue headache nausea.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Report sent to call center — 6 months, dose 2Be 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)
- 2021-09-03
-
2021-09-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-07
Call successfulCompleted over the phone
-
2021-11-23
Dose 3 — Moderna
- 2021-11-23
- 2021-11-24
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
-
2021-12-14
Survey response — day 21, dose 3MedDRA: Haemorrhage subcutaneous, Pregnancy, Subcutaneous haematoma, Ultrasound scan abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I'm 9 weeks pregnant & discovered a subcutaneous hematoma on my last ultrasound (+ bleeding). It has since resolved and I do not believe it to be associated with my booster shot. (It is an IVF pregnancy and this is more common in IVF pregnancies.)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-14
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-15
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-02-22
- 2022-05-24
- 2022-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 4 — day 21, dose 1
Symptoms: Im trying to conceive and noticed spotting after ovulation. I dont know yet if Im pregnant. I do not associate this with the vaccine - its just a new health condition that Im monitoring.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Last night my heart felt like it was racing
Release 9 — 6 months, dose 2
Symptoms: All COVID symptoms. Cough fever loss of taste congestion fatigue headache nausea.
Release 10 — day 21, dose 3
Symptoms: I'm 9 weeks pregnant & discovered a subcutaneous hematoma on my last ultrasound (+ bleeding). It has since resolved and I do not believe it to be associated with my booster shot. (It is an IVF pregnancy and this is more common in IVF pregnancies.)
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 |
|---|---|---|---|---|
| SD | Ageusia | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Haemorrhage subcutaneous | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Subcutaneous haematoma | · | · | ✓ |
| SD | Ultrasound scan abnormal | · | · | ✓ |
| SD | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release