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YG7-18583-65517

2 vaccinations 3 coded responses 5 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
972 / OR
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-02-06
    Dose 2 — Moderna
  3. 2021-03-04
    Registered in v-safe
  4. 2021-03-04
    Survey response — day 21, dose 2
    MedDRA: Abortion spontaneous, Chills, Pain, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Miscarriage between 1st and 2nd vaccine (pregnant at time of first vaccine).Fevers, chills and body aches for 24hr starting about 12 hours after the second vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-08-09
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Be unable to work or attend school
    Free text: Cant remember but Im pregnant now and I dont think I was last check in. 12wks
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2022-01-23
  10. 2022-02-06
    Survey response — 12 months, dose 2
    MedDRA: Premature delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Delivered our baby girl. She came early at 34 3/7wks.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-06
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  12. 2022-02-21

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-06Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-04 Unsuccessful
2022-02-06 Unsuccessful

Free text

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Miscarriage between 1st and 2nd vaccine (pregnant at time of first vaccine).Fevers, chills and body aches for 24hr starting about 12 hours after the second vaccine.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Cant remember but Im pregnant now and I dont think I was last check in. 12wks

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: Delivered our baby girl. She came early at 34 3/7wks.

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 ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPregnancy ✓ · ✓
SDPremature delivery · · ✓
SDPyrexia ✓ ✓ ✓

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