3SZ-17856-14728
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 338 / FL
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-23
Dose 1 — Moderna
-
2021-01-03
Registered in v-safe
- 2021-01-03
- 2021-01-06
- 2021-01-13
-
2021-01-19
Dose 2 — Moderna
-
2021-01-19
Health check-in — 0 day, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy, Vaginal haemorrhage — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-26
Survey response — 7 day, dose 2MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-26
Report sent to call center — 7 day, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-04-30
Call successfulDoes not wish to fill out VAERS report
- 2021-07-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-26 | Successful 2021-04-30 |
Does not wish to fill out VAERS report |
Free text
Release 2
Systemic reaction (other): Vaginal Bleeding during pregnancy
Systemic reaction (other): Miscarriage
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 |
|---|---|---|---|---|
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release