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74G-14323-02635

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
752 / TX
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-19
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  4. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Nausea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: One day after vaccine I had nausea and chills but you did not survey me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-12
    Dose 2 — Moderna
  12. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Thirst — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Excessive thirst. Insatiable thirst.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  14. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Headache
    Adult check-in
  16. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-26
    Survey response — day 14, dose 2
    MedDRA: Amniotic fluid volume decreased, Pregnancy — Feeling: Fair · Be unable to work
    Free text: 20 weeks pregnant and my baby has low amniotic fluid. Oligohydraminos. I have no idea if this is related but everything was fine before vaccine and I think you should know in case others are showing this.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-12
    Survey response — day 28, dose 2
    MedDRA: Stillbirth — Feeling: Fair · Be unable to work
    Free text: My pregnancy ended in stillbirth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-28
    Survey response — day 42, dose 2
    MedDRA: Complication of pregnancy, Foetal death, Maternal exposure during pregnancy, Stillbirth — Feeling: Good
    Free text: Not necessarily covid vaccine related but I had pregnancy complications arise that were not present before vaccination and I lost the baby at 21 weeks. Need you to know. Call if you want details
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-14
    Survey response — 3 months, dose 2
    MedDRA: Preterm premature rupture of membranes — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: I lost a baby at 21 weeks after my vaccine. Had preterm premature rupture of membranes. Unsure if vaccine played a role but you should know
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-08-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-28
    Dose 3 — Moderna
  26. 2021-08-28
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  27. 2021-08-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lung disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Lungs feel like theyve been mildly impacted
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-08-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Migraine, Toothache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: My teeth hurt. Migraine headache.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-09-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-09-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-09-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-09-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-09-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-09-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-10-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-08-30
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-12Moderna
32021-08-28Moderna No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): One day after vaccine I had nausea and chills but you did not survey me

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Excessive thirst. Insatiable thirst.

Release 4 — day 14, dose 2

2021-02-26

Symptoms: 20 weeks pregnant and my baby has low amniotic fluid. Oligohydraminos. I have no idea if this is related but everything was fine before vaccine and I think you should know in case others are showing this.

Release 5 — day 28, dose 2

2021-03-12

Symptoms: My pregnancy ended in stillbirth

Release 6 — day 42, dose 2

2021-03-28

Symptoms: Not necessarily covid vaccine related but I had pregnancy complications arise that were not present before vaccination and I lost the baby at 21 weeks. Need you to know. Call if you want details

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: I lost a baby at 21 weeks after my vaccine. Had preterm premature rupture of membranes. Unsure if vaccine played a role but you should know

Release 9 — days 1–6 daily, dose 3

2021-08-29

Systemic reaction (other): Lungs feel like theyve been mildly impacted

2021-08-30

Systemic reaction (other): My teeth hurt. Migraine headache.

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
SDAmniotic fluid volume decreased ○ ✓ ○
SDComplication of pregnancy ✓ ✓ ✓
SDFoetal death ○ ✓ ○
SDMaternal exposure during pregnancy ○ ✓ ○
SDPregnancy ✓ ✓ ✓
SDPreterm premature rupture of membranes ✓ ✓ ✓
SDStillbirth ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROLung disorder ✓ · ✓
SROMigraine ✓ · ✓
SRONausea ✓ ✓ ✓
SROThirst ✓ ✓ ✓
SROToothache ✓ · ✓

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