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
-
2021-03-18
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
-
2021-04-28
Registered in v-safe
-
2021-04-28
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Rash on forearmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-17
- 2021-05-21
- 2021-05-28
-
2021-07-16
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous, Subchorionic haemorrhage — Feeling: GoodFree text: Subchorionic hemhorrage and MiscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2nd miscarriage after getting shotsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Rash on forearm
Release 9 — 3 months, dose 2
Symptoms: Subchorionic hemhorrage and Miscarriage
Release 10 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Subchorionic haemorrhage | ✓ | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release