JPK-88208-83813
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 785 / TX
- Registered
- 2021-01-09
- Relationship
- Self
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
-
2021-01-09
Survey response — 0 day, dose 1MedDRA: Medical observation — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-09
Report sent to call center — 0 day, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Haemorrhage in pregnancy — Feeling: Fair · Abdominal pain · Be unable to workMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Abortion spontaneous — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-13
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-14
- 2021-01-16
-
2021-02-03
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | Successful | Does not wish to fill out VAERS report |
| 2021-01-12 | Successful | Does not wish to fill out VAERS report |
| 2021-01-13 | Successful 2021-02-03 |
Does not wish to fill out VAERS report |
Free text
Release 1
Healthcare visit (other): Was seen by a dr at vaccination clinic
Systemic reaction (other): Bleeding while pregnant
Systemic reaction (other): Loss of pregnancy
Free-text releases are not linked to a specific 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 | Medical observation | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ○ | ○ | ○ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Haemorrhage in pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release