B6Q-87494-59907
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 782 / TX
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-10
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-26
-
2021-01-31
Survey response — day 21, dose 1MedDRA: Headache — Feeling: FairFree text: Frequent headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Dose 2 — Moderna
- 2021-02-21
- 2021-02-27
- 2021-03-08
- 2021-03-15
- 2021-03-20
- 2021-05-08
-
2021-08-07
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Condition aggravated, Headache, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Miscarriage on June 15th, increased frequent headaches, sinus congestion more frequent. · Healthcare visit (other): For miscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-10
- 2021-08-13
-
2022-02-06
Survey response — 12 months, dose 2MedDRA: Pregnancy, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pregnant and tested positive for COVID 1.18.22MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-07 | Unsuccessful |
Free text
Release 3 — day 21, dose 1
Symptoms: Frequent headaches
Release 9 — 6 months, dose 2
Symptoms: Miscarriage on June 15th, increased frequent headaches, sinus congestion more frequent.
Healthcare visit (other): For miscarriage
Release 11 — 12 months, dose 2
Symptoms: Pregnant and tested positive for COVID 1.18.22
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 | Abortion spontaneous | ✓ | · | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release