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36Z-18113-22870

3 vaccinations 2 coded responses 3 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
972 / OR
Registered
2021-12-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-02-17
    Dose 2 — Moderna
  3. 2021-12-02
    Dose 3 — Moderna
    Co-administered: Flu
  4. 2021-12-18
    Registered in v-safe
  5. 2021-12-18
    Survey response — day 14, dose 3
    MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: I had a spontaneous miscarriage 4 days ago.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-18
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  7. 2021-12-22
  8. 2021-12-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  9. 2021-12-27
  10. 2021-12-30
    Survey response — day 28, dose 3
    MedDRA: Fatigue — Feeling: Fair
    Free text: Fatigue
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna No
22021-02-17Moderna No
32021-12-02Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-12-18 Unsuccessful

Free text

Release 10 — day 14, dose 3

2021-12-18

Symptoms: I had a spontaneous miscarriage 4 days ago.

Release 10 — day 28, dose 3

2021-12-30

Symptoms: Fatigue

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 · · ✓
SDFatigue · · ✓

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