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KBE-13706-94377

3 vaccinations 1 coded response 17 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
100 / NY
Registered
2021-03-05
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Moderna
  3. 2021-03-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Abortion spontaneous, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I am having a miscarriage - dont think its because of the vaccine... · Healthcare visit (other): IVF doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-03
    Dose 2 — Moderna
  14. 2021-04-07
  15. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-04
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-11-18
    Dose 3 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna
32021-11-18Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-20 Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-03-20

Symptoms: I am having a miscarriage - dont think its because of the vaccine...
Healthcare visit (other): IVF doctor

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
HCVOOffice visit ✓ ✓ ✓
SDAbortion spontaneous ✓ ✓ ✓

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

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