BK9-11957-05679
3 vaccinations
2 coded responses
31 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZEJ-24299-21819
Child or adolescent in my care · Female · 2022-07-09
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
-
2021-03-25
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-18
Dose 2 — Moderna
- 2021-04-18
- 2021-04-20
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-30
- 2021-07-18
- 2021-10-17
-
2021-12-08
Dose 3 — Moderna
-
2021-12-15
Survey response — day 7, dose 3MedDRA: Abortion spontaneous — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activitiesFree text: Miscarriage at 10 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
-
2022-03-09
Survey response — 3 months, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-18 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): Miscarriage at 10 weeks pregnant
Release 11 — 3 months, dose 3
Symptoms: Sore throat
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 | Oropharyngeal pain | · | · | ✓ |
| SRO | Abortion spontaneous | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release