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4E4-32652-00968

2 vaccinations 1 coded response 17 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
082 / NJ
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Moderna
  2. 2021-03-19
    Registered in v-safe
  3. 2021-03-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-10
    Dose 2 — Moderna
  7. 2021-04-10
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  11. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-11
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Lost pregnancy at 13 weeks.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-11
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  21. 2021-10-12
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  22. 2022-04-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna
22021-04-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-10-11 Successful
2021-10-12
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: Lost pregnancy at 13 weeks.

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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