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RVS-60481-98666

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
088 / NJ
Registered
2021-04-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Moderna
  2. 2021-04-16
    Dose 2 — Moderna
  3. 2021-04-28
    Registered in v-safe
  4. 2021-04-28
    Survey response — day 7, dose 2
    MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site
    Free text: Rash on forearm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-05-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-07-16
    Survey response — 3 months, dose 2
    MedDRA: Abortion spontaneous, Subchorionic haemorrhage — Feeling: Good
    Free text: Subchorionic hemhorrage and Miscarriage
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-10-15
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to do your normal daily activities
    Free text: 2nd miscarriage after getting shots
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-16Moderna

Free text

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Rash on forearm

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Subchorionic hemhorrage and Miscarriage

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: 2nd miscarriage after getting shots

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
SDAbortion spontaneous ✓ · ✓
SDSubchorionic haemorrhage ✓ · ✓
SRORash ✓ ✓ ✓

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