3B5-26973-39493
1 vaccination
1 coded response
7 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 704 / LA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-11
- 2021-02-13
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-16
- 2021-03-04
-
2022-02-09
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous, Cardiolipin antibody positive, Thrombosis, Uterine dilation and evacuation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Ive had a 14 week miscarriage and an 8 week miscarriage that were caused by elevated anti cardiolipin antibodies/microthrombosis. I've tried reporting this to VAERS but have been unsuccessful. · Healthcare visit (other): D&E and fertility work upMedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-09 | Unsuccessful |
Free text
Release 11 — 12 months, dose 1
Symptoms: Ive had a 14 week miscarriage and an 8 week miscarriage that were caused by elevated anti cardiolipin antibodies/microthrombosis. I've tried reporting this to VAERS but have been unsuccessful.
Healthcare visit (other): D&E and fertility work up
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 | Uterine dilation and evacuation | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Cardiolipin antibody positive | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release