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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

  1. 2021-05-23
    Dose 1 — Moderna
  2. 2021-06-22
    Registered in v-safe
  3. 2021-06-22
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-06-25
    Dose 2 — Moderna
  5. 2021-06-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2021-06-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction, Pregnancy — Feeling: Good · Fatigue or tiredness, Nausea
    Free text: Above symptoms more likely due to pregnancy as these existed prior to shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Pregnancy — Feeling: Good · Fatigue or tiredness
    Free 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
  8. 2021-06-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-07-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  10. 2021-07-02
    Health check-in — day 7, dose 2
    Feeling: Good · Nausea
    Adult check-in
  11. 2021-07-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-16
    Survey response — day 21, dose 2
    MedDRA: Abortion spontaneous, Foetal growth abnormality, Pregnancy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: We lost our pregnancy. Baby stopped developing at 6 weeks.
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-23Moderna No
22021-06-25Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-28

Systemic reaction (other): Above symptoms more likely due to pregnancy as these existed prior to shot

2021-06-29

Systemic reaction (other): Fatigue likely due to pregnancy; we are 5 weeks 6 days.

Release 9 — day 21, dose 2

2021-07-16

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous ✓ · ✓
SDFoetal growth abnormality ✓ · ✓
SDPregnancy ✓ · ✓
SROAdverse reaction ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓

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