3V4-15419-03698
1 vaccination
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 060 / CT
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
- 2021-01-15
-
2022-01-14
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous, Blood calcium increased, Blood parathyroid hormone abnormal, Urine calcium increased, Uterine dilation and curettage — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Miscarriage, abnormally high calcium in urine and blood, abnormal parathyroid tests · Healthcare visit (other): D&CMedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
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 pr1 call case(s)
- 2022-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-14 | Unsuccessful |
Free text
Release 10 — 12 months, dose 1
Symptoms: Miscarriage, abnormally high calcium in urine and blood, abnormal parathyroid tests
Healthcare visit (other): D&C
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 curettage | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Blood calcium increased | · | · | ✓ |
| SD | Blood parathyroid hormone abnormal | · | · | ✓ |
| SD | Urine calcium increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release