268-10354-33991
2 vaccinations
1 coded response
23 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 430 / OH
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-07
Registered in v-safe
-
2021-03-07
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-07
-
2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
-
2021-06-06
Survey response — 3 months, dose 1MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had a miscarriage. · Healthcare visit (other): In-person visits to OB-GYN and ultrasound at hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-06
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-05
-
2021-11-10
Dose 2 — Moderna
- 2021-11-29
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-09
- 2022-05-11
- 2022-11-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-06 | Successful 2021-06-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8 — 3 months, dose 1
Symptoms: I had a miscarriage.
Healthcare visit (other): In-person visits to OB-GYN and ultrasound at hospital
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release