U29-82423-26556
3 vaccinations
3 coded responses
16 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 610 / IL
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-03-05
Dose 2 — Moderna
-
2021-03-07
Registered in v-safe
- 2021-03-07
- 2021-03-08
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Survey response — day 28, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: I had a miscarriage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
- 2021-04-09
- 2021-04-16
-
2021-06-04
Survey response — 3 months, dose 2MedDRA: Breast calcifications, Mammogram — Feeling: GoodFree text: Calcification on right breast. Mammogram appeared to be benign.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-03
-
2022-03-05
Survey response — 12 months, dose 2MedDRA: COVID-19, Pregnancy — 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 · Outpatient clinic or urgent care clinic visitFree text: I had Covid in the beginning of January. I am also pregnant since November.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-08
-
2022-03-22
Dose 3 — Moderna
- 2022-04-28
- 2022-05-03
- 2022-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2022-03-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-02 | Unsuccessful | |
| 2022-03-05 | Unsuccessful |
Free text
Release 6 — day 28, dose 2
Symptoms: I had a miscarriage.
Release 8 — 3 months, dose 2
Symptoms: Calcification on right breast. Mammogram appeared to be benign.
Release 11 — 12 months, dose 2
Symptoms: I had Covid in the beginning of January. I am also pregnant since November.
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 | Breast calcifications | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Mammogram | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release