YA4-21937-08831
2 vaccinations
3 coded responses
13 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 277 / NC
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
-
2021-02-10
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: I am pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
-
2021-02-26
Dose 2 — Moderna
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Abortion spontaneous — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I had a miscarriage a few weeks ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Good · Site: PainFree text: Cold soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-04
- 2021-03-14
- 2021-03-19
- 2021-03-28
- 2021-04-02
- 2021-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): I am pregnant.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had a miscarriage a few weeks ago.
Systemic reaction (other): Cold sore
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 |
|---|---|---|---|---|
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release