7KT-61932-58602
2 vaccinations
1 coded response
24 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 544 / WI
- Registered
- 2021-09-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-23
Registered in v-safe
-
2021-09-23
Dose 1 — Moderna
- 2021-09-23
-
2021-09-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-09-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-09-26
- 2021-09-27
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-06
-
2021-11-11
Dose 2 — Moderna
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
-
2022-11-11
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Blood disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Blood clotting disorder- Lupus Anticoagulant. 2 miscarriages within 1 yearMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-11-14
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-23 | Moderna | No |
| 2 | 2021-11-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-11 | Successful 2022-11-14 |
Participant prefers to complete VAERS report online |
Free text
Release 12 — 12 months, dose 2
Symptoms: Blood clotting disorder- Lupus Anticoagulant. 2 miscarriages within 1 year
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 | · | · | ✓ |
| SD | Blood disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release