4FV-27428-13619
4 vaccinations
2 coded responses
39 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 277 / NC
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
- 2021-02-19
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
- 2021-03-26
-
2021-04-02
Survey response — day 14, dose 2MedDRA: Abortion missed, Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Missed miscarriage at 12 weeks pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-05-02
- 2021-06-20
- 2021-09-19
-
2021-11-09
Dose 3 — Moderna
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-15
- 2021-11-18
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2022-02-08
- 2022-05-12
-
2022-10-18
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-18
- 2022-10-21
- 2022-10-22
- 2022-10-23
-
2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Headache, Muscle or body achesAdult check-in
-
2022-10-25
Survey response — day 7, dose 4MedDRA: Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
- 2022-11-17
- 2022-11-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-10-18 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-02 | Unsuccessful |
Free text
Release 6 — day 14, dose 2
Symptoms: Missed miscarriage at 12 weeks pregnant.
Release 12 — day 7, dose 4
Systemic reaction (other): Congestion
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 missed | ✓ | · | ✓ |
| SD | Abortion spontaneous | ○ | ✓ | ○ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release