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LCE-24094-26763

2 vaccinations 1 coded response 22 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
496 / MI
Registered
2021-02-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Registered in v-safe
  2. 2021-02-05
    Dose 1 — Moderna
  3. 2021-02-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-05
    Dose 2 — Moderna
  12. 2021-03-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-03-05
    Survey response — 12 months, dose 2
    MedDRA: Ectopic pregnancy, Tubal rupture — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Ectopic pregnancy with tubal rupture
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-03-05
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  27. 2022-03-09

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-03-05 Unsuccessful

Free text

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: Ectopic pregnancy with tubal rupture

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
SDEctopic pregnancy · · ✓
SDTubal rupture · · ✓

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

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