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
-
2021-01-16
Registered in v-safe
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2021-01-16
Dose 1 — Moderna
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2021-01-16
Survey response — day 0, dose 1MedDRA: Intermenstrual bleeding — Feeling: Good · Site: PainFree 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
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Intermenstrual bleeding — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Breakthrough bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
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2021-01-23
Survey response — day 7, dose 1MedDRA: Breast tenderness, Intermenstrual bleeding — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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
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2021-01-23
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-30
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2021-02-06
Survey response — day 21, dose 1MedDRA: Heart rate increased, Heart rate irregular, Muscle spasms — Feeling: GoodFree text: Fast and irregular heart rate, crampingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — day 28, dose 1MedDRA: Heart rate irregular — Feeling: GoodFree text: Heart beat irregularitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
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2021-02-24
Dose 2 — Moderna
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: ItchingFree text: Some dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-05
- 2021-03-10
- 2021-03-24
- 2021-03-31
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2021-04-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-05-26
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): Spotting (I found this unusual, since I dont spot between cycles)
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Breakthrough bleeding
Release 2 — day 7, dose 1
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
Symptoms: Fast and irregular heart rate, cramping
Release 4 — day 28, dose 1
Symptoms: Heart beat irregularities
Release 4 — days 1–6 daily, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Breast tenderness | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release