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7UT-21337-86943

2 vaccinations 1 coded response 5 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
816 / CO
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-05
    Survey response — 14 day, dose 1
    MedDRA: Abortion spontaneous, Injection site erythema, Injection site induration, Injection site swelling, Office visit, Unevaluable event, Vaccination site erythema, Vaccination site induration, Vaccination site pain, Vaccination site swelling — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-02-05
    Report sent to call center — 14 day, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-11
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-17
    Health check-in — 28 day, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-18
    Dose 2 — Moderna
  8. 2021-02-26
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-26
  10. 2021-03-06
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-18Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-05 Unsuccessful

Free text

Release 3

Symptoms: intense arm pain at site of vaccine for 48 hours. Then 1 week after dose 1 had large swelling, firmness, redness (baseball+ size) at site of vaccine. Also had a miscarriage (9.5 weeks pregnant) one week after dose 1.
Healthcare visit (other): OBGYN - miscarriage

Free-text releases are not linked to a specific 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
HCVOAbortion spontaneous ✓ · ✓
HCVOOffice visit ✓ · ✓
HCVOUnevaluable event ○ ✓ ○
SDAbortion spontaneous ✓ ✓ ✓
SDInjection site erythema ○ ✓ ○
SDInjection site induration ○ ✓ ○
SDInjection site swelling ○ ✓ ○
SDUnevaluable event ○ ✓ ○
SDVaccination site erythema ✓ · ✓
SDVaccination site induration ✓ · ✓
SDVaccination site pain ✓ · ✓
SDVaccination site swelling ✓ · ✓

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