Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Intra-uterine contraceptive device insertion, Menstruation delayed, Menstruation irregular, Red blood cell count decreased
Clinical narrative: I received my first dose of Moderna Covid Vaccine on January 6th 2021. After this dose I began my period 1/8/21, I was not due to start my period until approximately 1/18/21. I did not notice any significant other things about that period. I received my second dose of Moderna Covid Vaccine (LOT 030Z20A) on 2/4/21. After this dose I did not start my period on time. I had a doctor appointment on 2/25/21 and was going to speak to her about my concerns, however on the morning of the appointment, I began to spot. I did speak to my doctor about the concerns but just figured I was a little late with my period. Bloodwork was scheduled, my CBC came back normal with my RBCs 4.33x10 6/uL hematocrit 39.1% and my hemoglobin 13.6g/dL. The spotting continued, on and off until 2/27/21 when I began bleeding very heavily. On 3/10/21 I continued with my period and called the doctor with concerns as I had never experienced a period to last that long. Blood work was ordered again with my RBCs 3.58x10 6/uL CBC now being slightly abnormal my hematocrit 32.4% and Hemoglobin 11.2g/dL. An ultrasound was scheduled both internal and external, which I received 3/12/21. I do not know of the actual results of that ultrasound, but I was referred to a gynecologist. I saw the Gynecologist on 3/19/21. It was determined that the best plan of action was to have a D&C, Hysteroscopy and an IUD placed to help the bleeding.  This was scheduled to be completed on 4/14/21. I continued to bleed until that date. I went to the hospital several times for symptoms of anemia, dizziness, lightheaded, weakness, fatigue. The two times that I have record of my CBC results are 4/4/21 with RBCs 3.05x10 6/uL, hematocrit 28.4% and hemoglobin 9.7g/dL. Also 4/7/21 CBC results RBCs 2.73x10 6/uL, hematocrit 25.5% and hemoglobin 8.6g/dL. The procedure was preformed 4/14/21 and I stopped bleeding 4/16/21. After this procedure my periods continued in a normal pattern lasting 3-5 days and having light to moderate amount of bleeding. I received my booster dose of Pfizer Covid Vaccine (LOT FK9729) on 1/13/22. After receiving this dose I started my period 1/15/21, which was earlier than normal. My periods from the time I received the Covid Booster until present have lasted 5-7 days and have become much heavier. I had an annual appointment for my Gynecologist in May 2022, an internal and external ultrasound was ordered to check the placement of the IUD due to the change in the bleeding. I received the ultrasound on 5/20/22, the results showed an enlarged uterus, the IUD in a lower position, a uterine fibroid in a position that could be pushing the IUD out, and another area that measure 4.2cm near my right ovary. The doctor scheduled another internal and external ultrasound at a different point in my cycle, to see if the results were similar. Between these two ultrasounds my bleeding became irregular, I began spotting between periods. I received this ultrasound on 6/20/21. These results showed my uterus more enlarged, the IUD now in my cervix, the uterine fibroid remained, and the area near my left ovary now measuring 5.1cm. It was determined that the IUD needed to be removed due to the placement. An MRI was ordered to see the area near my ovary. I opted to have a hysterectomy to prevent any further complications. The IUD was removed on 6/24/21, during this appointment I spoke to the doctor about a hysterectomy, I was referred to a doctor out of town to do the surgery. The surgery has been scheduled for 7/27/22. The MRI was canceled by the new doctor due to the uterus being removed and further imaging is not necessary.