4EP-40290-03592
1 vaccination
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 265 / WV
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
- 2021-01-22
- 2021-01-23
- 2021-01-31
-
2021-07-17
Survey response — 6 months, dose 1MedDRA: Acne, Infertility, Weight loss poor — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Difficulty losing weight, acne (onset March 2021), difficulty getting pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2021-07-17
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-25
-
2022-01-16
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous — Feeling: GoodFree text: Miscarriage in October. Last vaccine in February. Probably unrelated but worth mentioning.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-17 | Unsuccessful |
Free text
Release 9 — 6 months, dose 1
Symptoms: Difficulty losing weight, acne (onset March 2021), difficulty getting pregnant.
Release 10 — 12 months, dose 1
Symptoms: Miscarriage in October. Last vaccine in February. Probably unrelated but worth mentioning.
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 |
|---|---|---|---|---|
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Acne | · | · | ✓ |
| SD | Infertility | · | · | ✓ |
| SD | Weight loss poor | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release