3LN-11018-65889
2 vaccinations
1 coded response
16 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 841 / UT
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
-
2020-12-30
Health check-in — 0 day, dose 1Feeling: Good · None · Be unable to do your normal daily activitiesAdult check-in
-
2020-12-30
Report sent to call center — 0 day, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-05
- 2021-01-06
- 2021-01-08
-
2021-01-13
Survey response — 14 day, dose 1MedDRA: Abortion spontaneous, Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-13
Report sent to call center — 14 day, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
- 2021-01-20
-
2021-01-28
Dose 2 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-13
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-30 | Unsuccessful | |
| 2021-01-13 | Unsuccessful |
Free text
Release 1
Symptoms: Miscarriage, itchiness, redness, swelling at injection site
Free-text releases are not linked to a specific 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 | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release