7Y7-28830-89507
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 070 / NJ
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
-
2021-04-03
Survey response — day 7, dose 1MedDRA: Rash — Feeling: GoodFree text: I had a rash for one day, one week after I got the shot. No pain or itching thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Survey response — day 14, dose 1MedDRA: Pregnancy, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: On Wednesday 4/7 I started spotting (Im pregnant)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
- 2021-04-15
-
2021-04-16
Call successfulDoes not wish to fill out VAERS report
-
2021-04-21
Dose 2 — Moderna
- 2021-04-23
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Spinal pain — Feeling: FairFree text: Lower back/spine hurts very bad. Not sure if its related thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-04-28
- 2021-05-14
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous, Prenatal screening test abnormal, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My pregnancy ended due to abnormalities discovered at my 20 week anatomy scan · Healthcare visit (other): Our patient SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2021-07-21
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-07-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-11 | Successful 2021-04-16 |
Does not wish to fill out VAERS report |
| 2021-07-21 | Successful 2021-07-23 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): I had a rash for one day, one week after I got the shot. No pain or itching though
Release 7 — day 14, dose 1
Symptoms: On Wednesday 4/7 I started spotting (Im pregnant)
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Lower back/spine hurts very bad. Not sure if its related though
Release 9 — 3 months, dose 2
Symptoms: My pregnancy ended due to abnormalities discovered at my 20 week anatomy scan
Healthcare visit (other): Our patient Surgery
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 | Surgery | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Prenatal screening test abnormal | · | · | ✓ |
| SD | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Spinal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release