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Z4U-33819-28687

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
920 / CA
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Survey response — day 0, dose 1
    MedDRA: Intermenstrual bleeding — Feeling: Good · Site: Pain
    Free text: Spotting (I found this unusual, since I dont spot between cycles)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Intermenstrual bleeding — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Breakthrough bleeding
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-23
    Survey response — day 7, dose 1
    MedDRA: Breast tenderness, Intermenstrual bleeding — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Breast tenderness not associated with normal cycle. I also experienced spotting, which is unusual for me. I am not sure if this is related to the vaccine, but I thought Id mention it in case more women are experiencing hormone fluctuations due to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-23
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-06
    Survey response — day 21, dose 1
    MedDRA: Heart rate increased, Heart rate irregular, Muscle spasms — Feeling: Good
    Free text: Fast and irregular heart rate, cramping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-13
    Survey response — day 28, dose 1
    MedDRA: Heart rate irregular — Feeling: Good
    Free text: Heart beat irregularities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-20
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-02-24
    Dose 2 — Moderna
  17. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Itching
    Free text: Some dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  20. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  26. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-24Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-17 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-23 Successful
2021-04-01
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — day 0, dose 1

2021-01-16

Systemic reaction (other): Spotting (I found this unusual, since I dont spot between cycles)

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Breakthrough bleeding

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Breast tenderness not associated with normal cycle. I also experienced spotting, which is unusual for me. I am not sure if this is related to the vaccine, but I thought Id mention it in case more women are experiencing hormone fluctuations due to the vaccine.

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Fast and irregular heart rate, cramping

Release 4 — day 28, dose 1

2021-02-13

Symptoms: Heart beat irregularities

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Some dizziness

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
SDHeart rate increased ✓ ✓ ✓
SDHeart rate irregular ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SROBreast tenderness ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROIntermenstrual bleeding ✓ ✓ ✓

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