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RRM-89013-56751

2 vaccinations 2 coded responses 19 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
750 / TX
Registered
2020-12-30
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
AFG-17193-23575 Child or adolescent in my care · Female · 2022-06-22

Timeline

  1. 2020-12-29
    Dose 1 — Moderna
  2. 2020-12-30
    Registered in v-safe
  3. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-27
    Dose 2 — Moderna
  13. 2021-02-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Good · Site: Pain
    Free text: Experienced aches the day after the second injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-01-27
    Survey response — 12 months, dose 2
    MedDRA: Foetal death — Feeling: Good
    Free text: I experienced a fetal demise on 11/11 at 29 weeks gestation. Sudden, severe preeclampsia was determined to be the most likely cause. I have never had COVID, which research shows to be associated with stillbirth in some cases.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-27Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Experienced aches the day after the second injection.

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: I experienced a fetal demise on 11/11 at 29 weeks gestation. Sudden, severe preeclampsia was determined to be the most likely cause. I have never had COVID, which research shows to be associated with stillbirth in some cases.

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
SDFoetal death · · ✓
SROPain ✓ ✓ ✓

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

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