5FL-17999-59635
1 vaccination
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 327 / FL
- Registered
- 2021-08-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-06
Dose 1 — Moderna
-
2021-08-09
Registered in v-safe
- 2021-08-09
- 2021-08-10
-
2021-08-11
Survey response — days 1–6 daily, dose 1MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Miscarriage monday 8/9/2021 · Healthcare visit (other): ObgynMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
- 2021-08-12
-
2021-08-20
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: Headaches dailyMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-11 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Release 9 — day 14, dose 1
Symptoms: Headaches daily
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 | Office visit | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SRO | Abortion spontaneous | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release