6EH-30670-36179
3 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 559 / MN
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Stomatitis — Feeling: GoodFree text: I started getting some mouth sores yesterday. Kind of like what you would get if you ate too much pineapple, but I havent eaten any acidic foods.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Nausea — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: The nausea could be from morning sickness that has been pretty bad todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-05-02
- 2021-05-03
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
-
2021-05-27
Survey response — day 28, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I was diagnosed with a missed miscarriage last Thursday 5/20/21I am unsure if the vaccination had anything to do with that. But I am concerned about that being a possibility given that both shots were revived in the 1st trimester.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-02
- 2021-06-03
- 2021-06-10
- 2021-07-31
- 2021-10-28
-
2021-11-29
Dose 3 — Moderna
- 2022-04-29
- 2022-05-30
- 2022-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I started getting some mouth sores yesterday. Kind of like what you would get if you ate too much pineapple, but I havent eaten any acidic foods.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The nausea could be from morning sickness that has been pretty bad today
Release 8 — day 28, dose 2
Symptoms: I was diagnosed with a missed miscarriage last Thursday 5/20/21I am unsure if the vaccination had anything to do with that. But I am concerned about that being a possibility given that both shots were revived in the 1st trimester.
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 |
|---|---|---|---|---|
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release