ZUH-19149-86213
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 019 / MA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Registered in v-safe
-
2021-04-12
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-14
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Postmenopausal haemorrhage, Vaginal haemorrhage — Feeling: Good · Fatigue or tirednessFree text: Vaginal spotting / bleeding when I thought I was six months into menopauseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Epistaxis, Haemorrhage, Menopause, Menstruation irregular — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): I got my period after 6 months without a period and I thought I was in menopause. I also noticed my nose was bleeding a little upon waking, when I blew my nose there was some blood. · Healthcare visit (other): I am going to be seen at the gynocologist next week to check out the abnormal bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Menstrual bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — day 7, dose 1MedDRA: Ear discomfort — Feeling: GoodFree text: Slight ear pressure in both ears on and offMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
-
2021-05-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-14
- 2021-10-11
-
2021-10-25
Dose 2 — Moderna
- 2021-11-01
- 2021-11-08
-
2021-11-15
Survey response — day 21, dose 2MedDRA: Ear pain — Feeling: GoodFree text: Mild ear pain in left earMedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Survey response — day 28, dose 2MedDRA: Ear pain — Feeling: GoodFree text: Mild ear pain left earMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Vaginal spotting / bleeding when I thought I was six months into menopause
Systemic reaction (other): I got my period after 6 months without a period and I thought I was in menopause. I also noticed my nose was bleeding a little upon waking, when I blew my nose there was some blood.
Healthcare visit (other): I am going to be seen at the gynocologist next week to check out the abnormal bleeding
Systemic reaction (other): Menstrual bleeding
Release 7 — day 7, dose 1
Systemic reaction (other): Slight ear pressure in both ears on and off
Release 10 — day 21, dose 2
Symptoms: Mild ear pain in left ear
Release 10 — day 28, dose 2
Symptoms: Mild ear pain left ear
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 |
|---|---|---|---|---|
| HCVO | Haemorrhage | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Menopause | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Postmenopausal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release