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YWW-23723-76724

3 vaccinations 4 coded responses 11 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
405 / KY
Registered
2021-05-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-07
    Dose 1 — Moderna
  2. 2021-05-05
    Dose 2 — Moderna
  3. 2021-05-14
    Registered in v-safe
  4. 2021-05-14
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-05-15
    Pregnancy registry survey
    Pregnant at time of vaccination · Yes, I would like someone to contact me
  6. 2021-05-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-05-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-06-02
    Survey response — day 28, dose 2
    MedDRA: Abortion spontaneous — Feeling: Fair · 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: Diagnosed with miscarriage on 5/27/21 at gestational age 11 weeks and 4 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-02
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-06-09
    Survey response — day 35, dose 2
    MedDRA: Abortion spontaneous, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Went to Ob/Gyn for repeat ultrasound on Thursday, 6/3, and miscarriage is slowly progressing but still not complete. Have repeat ultrasound scheduled for 6/11 to monitor progress of the miscarriage and to determine if medical intervention necessary
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-09
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-06-09
  13. 2021-06-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-04
    Survey response — 3 months, dose 2
    MedDRA: Cough, Fatigue, Lymphadenopathy, Nasal congestion, Oropharyngeal pain, Respirovirus test positive, SARS-CoV-2 test negative — Feeling: Good
    Free text: Recently had sore throat, swollen neck lymph nodes, nasal congestion, cough, and severe fatigue. Went for rapid covid testing on day 7 of symptoms and was negative. Only sick contact positive for parainfluenza 3, negative covid.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-11-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-09
    Dose 3 — Moderna
  17. 2022-05-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-05-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-11-11
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Chills, Cough, Decreased appetite, Malaise, Myalgia, Nausea, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Started feeling sick on June 4th, then diagnosed with covid on June 5th. Had sudden onset high fever (102.6F), chills, muscle aches, lack of appetite, nausea, and cough. Fever and chills ended after 48 hours, mild symptoms for the next few days.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Moderna
22021-05-05Moderna
32021-11-09Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-06-02 Unsuccessful
2021-06-09 Unsuccessful

Free text

Release 8 — day 28, dose 2

2021-06-02

Symptoms: Diagnosed with miscarriage on 5/27/21 at gestational age 11 weeks and 4 days.

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Went to Ob/Gyn for repeat ultrasound on Thursday, 6/3, and miscarriage is slowly progressing but still not complete. Have repeat ultrasound scheduled for 6/11 to monitor progress of the miscarriage and to determine if medical intervention necessary cut off by CDC

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: Recently had sore throat, swollen neck lymph nodes, nasal congestion, cough, and severe fatigue. Went for rapid covid testing on day 7 of symptoms and was negative. Only sick contact positive for parainfluenza 3, negative covid.

Release 12 — 12 months, dose 3

2022-11-11

Symptoms: Started feeling sick on June 4th, then diagnosed with covid on June 5th. Had sudden onset high fever (102.6F), chills, muscle aches, lack of appetite, nausea, and cough. Fever and chills ended after 48 hours, mild symptoms for the next few days.

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 · · ✓
SDCough ✓ · ✓
SDCOVID-19 · · ✓
SDDecreased appetite · · ✓
SDFatigue ✓ · ✓
SDLymphadenopathy ✓ · ✓
SDMalaise · · ✓
SDMyalgia · · ✓
SDNasal congestion ✓ · ✓
SDNausea · · ✓
SDOffice visit ✓ ✓ ✓
SDOropharyngeal pain ✓ · ✓
SDPyrexia · · ✓
SDRespirovirus test positive ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓

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