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BE4-64278-95796

2 vaccinations 1 coded response 1 check-in 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
432 / OH
Registered
2021-08-25
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Dose 1 — Moderna
  2. 2021-04-18
    Dose 2 — Moderna
  3. 2021-08-25
    Registered in v-safe
  4. 2021-10-17
    Survey response — 6 months, dose 2
    MedDRA: Ectopic pregnancy, Headache — 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 professional · Emergency room or emergency department visit, Hospitalization
    Free text: Headaches, Ectopic pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-17
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  6. 2021-10-18

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Moderna No
22021-04-18Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-17 Unsuccessful

Free text

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Headaches, Ectopic pregnancy

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

FieldPreferred term2021-092023-042024-11
SDEctopic pregnancy · · ✓
SDHeadache · · ✓

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