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BHK-73173-75837

2 vaccinations 1 coded response 1 check-in 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
113 / NY
Registered
2021-03-19
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-03-19
    Registered in v-safe
  3. 2021-04-09
    Dose 2 — Moderna
  4. 2021-04-09
    Survey response — day 0, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Fatigue or tiredness
    Free text: I miscarried on the way home from receiving my first shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna

Free text

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): I miscarried on the way home from receiving my first shot

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
SROAbortion spontaneous ✓ ✓ ✓

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