9RE-75070-72487
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 800 / CO
- Registered
- 2021-11-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-08
Dose 1 — Moderna
-
2021-11-03
Registered in v-safe
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2021-11-03
Survey response — day 21, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Miscarriage on Oct 29thMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-04
-
2021-11-05
Dose 2 — Moderna
-
2021-11-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-11-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Joint painsAdult check-in
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2021-11-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-11-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-21
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
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2022-02-04
Survey response — 3 months, dose 2MedDRA: Exposure to SARS-CoV-2, Oropharyngeal pain — Feeling: GoodFree text: Slight Sore throat after exposure to Covid. But did not get tested.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-08 | Moderna | No |
| 2 | 2021-11-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-03 | Unsuccessful | Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 10 — day 21, dose 1
Symptoms: Miscarriage on Oct 29th
Release 11 — 3 months, dose 2
Symptoms: Slight Sore throat after exposure to Covid. But did not get tested.
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release