F6X-33208-14070
3 vaccinations
2 coded responses
20 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 328 / FL
- Registered
- 2021-05-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-12
Registered in v-safe
-
2021-05-12
Dose 1 — Moderna
-
2021-05-12
Survey response — day 0, dose 1MedDRA: Abdominal pain, Abortion spontaneous — Feeling: Poor · Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I am in the middle of a miscarriage so the abdominal pain is due to that, not the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-26
-
2021-06-02
Survey response — day 21, dose 1MedDRA: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Productive cough — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Sore throat, dry and then wet cough, stuffy nose. Feels like a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Dose 2 — Moderna
- 2021-06-16
- 2021-06-23
- 2021-06-30
- 2021-07-07
- 2021-07-14
- 2021-07-21
- 2021-09-08
- 2021-12-08
-
2022-01-10
Dose 3 — Moderna
- 2022-07-11
- 2023-01-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-12 | Moderna | |
| 2 | 2021-06-09 | Moderna | |
| 3 | 2022-01-10 | Moderna | No |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): I am in the middle of a miscarriage so the abdominal pain is due to that, not the vaccine.
Release 8 — day 21, dose 1
Symptoms: Sore throat, dry and then wet cough, stuffy nose. Feels like a cold.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release