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VRV-18091-77056

1 vaccination 2 coded responses 4 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
494 / MI
Registered
2021-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-03
    Registered in v-safe
  3. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema — Feeling: Good · Site: Pain
    Free text: Red face but no fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-07-01
    Survey response — 3 months, dose 1
    MedDRA: Uterine dilation and curettage, Vaginal haemorrhage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Excessive vaginal bleeding requiring a D &c · Healthcare visit (other): D&C
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-01
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-07-06
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  7. 2021-10-02
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  8. 2022-04-03
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-01 Successful
2021-07-06
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Red face but no fever

Release 9 — 3 months, dose 1

2021-07-01

Symptoms: Excessive vaginal bleeding requiring a D &c
Healthcare visit (other): D&C

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
HCVOUterine dilation and curettage ✓ ✓ ✓
SDUterine dilation and curettage ✓ ✓ ✓
SDVaginal haemorrhage ✓ ✓ ✓
SROErythema ✓ ✓ ✓

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