L77-67877-68806
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 784 / TX
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-28
- 2021-04-02
-
2021-04-07
Dose 2 — Moderna
-
2021-04-16
Survey response — day 7, dose 2MedDRA: Abortion spontaneous — Feeling: GoodFree text: Miscarriage April 11MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-05
- 2021-05-14
-
2021-05-19
Survey response — day 42, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Be unable to do your normal daily activitiesFree text: MiscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-10-08
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Brief cold for about a week, but it cleared up on its own. Negative Covid test.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Miscarriage April 11
Release 8 — day 42, dose 2
Symptoms: Miscarriage
Release 10 — 6 months, dose 2
Symptoms: Brief cold for about a week, but it cleared up on its own. Negative Covid test.
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 | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release