V9Y-11123-35365
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 983 / WA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Moderna
-
2021-04-15
Registered in v-safe
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-30
- 2021-05-05
-
2021-05-12
Dose 2 — Moderna
- 2021-05-12
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint painsAdult check-in
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-26
- 2021-06-07
-
2021-06-09
Survey response — day 28, dose 2MedDRA: Abortion spontaneous — Feeling: GoodFree text: miscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-16
-
2021-06-23
Survey response — day 42, dose 2MedDRA: Abortion spontaneous, Pregnancy test positive — Feeling: GoodFree text: miscarriage after positve pregnancy test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-11
- 2021-11-10
- 2022-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-12 | Moderna |
Free text
Release 9 — day 28, dose 2
Symptoms: miscarriage
Release 9 — day 42, dose 2
Symptoms: miscarriage after positve pregnancy test.
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 | Pregnancy test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release