UY4-15843-21224
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 168 / PA
- Registered
- 2021-06-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-23
Dose 1 — Moderna
-
2021-06-22
Registered in v-safe
- 2021-06-22
-
2021-06-25
Dose 2 — Moderna
- 2021-06-27
-
2021-06-28
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Pregnancy — Feeling: Good · Fatigue or tiredness, NauseaFree text: Above symptoms more likely due to pregnancy as these existed prior to shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-29
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pregnancy — Feeling: Good · Fatigue or tirednessFree text: Fatigue likely due to pregnancy; we are 5 weeks 6 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
-
2021-07-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-07-02
- 2021-07-09
-
2021-07-16
Survey response — day 21, dose 2MedDRA: Abortion spontaneous, Foetal growth abnormality, Pregnancy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: We lost our pregnancy. Baby stopped developing at 6 weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-23 | Moderna | No |
| 2 | 2021-06-25 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Above symptoms more likely due to pregnancy as these existed prior to shot
Systemic reaction (other): Fatigue likely due to pregnancy; we are 5 weeks 6 days.
Release 9 — day 21, dose 2
Symptoms: We lost our pregnancy. Baby stopped developing at 6 weeks.
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 | Foetal growth abnormality | ✓ | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release