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3PA-26200-09182

2 vaccinations 2 coded responses 3 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
857 / AZ
Registered
2021-04-15
Relationship
Self
Race
N/A
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-02-12
    Dose 2 — Moderna
  3. 2021-04-15
    Registered in v-safe
  4. 2021-05-14
    Survey response — 3 months, dose 2
    MedDRA: Abortion spontaneous, Hospitalisation, Thrombosis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Had a miscarriage and was hospitalized. Developed a blood clot in my arm and was hospitalized.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-14
    Report sent to call center — 3 months, 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. 2021-08-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  7. 2022-01-20
  8. 2022-01-25
  9. 2022-02-14
    Survey response — 12 months, dose 2
    MedDRA: Anxiety — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Anxiety due to husband passing away.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-02-14
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  11. 2022-02-15

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-14 Unsuccessful
2022-02-14 Unsuccessful

Free text

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Had a miscarriage and was hospitalized. Developed a blood clot in my arm and was hospitalized.

Release 11 — 12 months, dose 2

2022-02-14

Symptoms: Anxiety due to husband passing away.

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 ✓ ✓ ✓
SDAnxiety · · ✓
SDHospitalisation ✓ ✓ ✓
SDThrombosis ✓ ✓ ✓

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