FTP-12003-01643
3 vaccinations
6 coded responses
7 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 786 / TX
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-21
Dose 1 — Moderna
-
2021-02-24
Registered in v-safe
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Sinus pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Sinus painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
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2021-03-25
Dose 2 — Moderna
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2021-04-27
Survey response — day 28, dose 2MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to workFree text: Experienced a missed miscarriage. Baby was found to have stopped growing around the same day lf my second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-24
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Office visit, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Miscarriage occurred at around the same time of second shot. · Healthcare visit (other): Surgery & doctor visits for miscarriageMedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-09-27
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2021-11-17
Dose 3 — Pfizer-BioNTech
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2022-03-28
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Colds, tested negative for covid.MedDRA releases: 2024-11 · check-in free text available
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2022-03-28
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-11-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-24 | Unsuccessful | |
| 2022-03-28 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus pain
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Bruising at injection site
Release 8 — day 28, dose 2
Symptoms: Experienced a missed miscarriage. Baby was found to have stopped growing around the same day lf my second dose.
Release 9 — 6 months, dose 2
Symptoms: Miscarriage occurred at around the same time of second shot.
Healthcare visit (other): Surgery & doctor visits for miscarriage
Release 11 — 12 months, dose 2
Symptoms: Colds, tested negative for covid.
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 | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release