UJ4-85066-94743
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 129 / NY
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-27
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 2 — Moderna
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · HeadacheAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-16
-
2021-02-21
Survey response — day 28, dose 2MedDRA: Abortion spontaneous, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Non-viable pregnancy · Healthcare visit (other): OBMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-26
- 2021-02-27
-
2021-02-28
Survey response — day 35, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to workFree text: MiscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-07
-
2021-07-27
Survey response — 6 months, dose 2MedDRA: Menstruation irregular, Planning to become pregnant — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Have not been ableTo get pregnant- period irregularMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-25 | Unsuccessful | |
| 2021-02-21 | Unsuccessful | |
| 2021-02-28 | priority 2/3 | |
| 2021-07-27 | Unsuccessful |
Free text
Release 4 — day 28, dose 2
Release 4 — day 35, dose 2
Symptoms: Miscarriage
Release 9 — 6 months, dose 2
Symptoms: Have not been ableTo get pregnant- period irregular
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Planning to become pregnant | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release