4S5-14277-01797
1 vaccination
1 coded response
7 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 960 / CA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-04
- 2021-01-05
- 2021-01-06
-
2021-12-30
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous, Office visit, Placental disorder, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Since I received my first vaccine last December I have had 2 miscarriages. My dr said I'm showering small emboli that's are occluding the small placental vessels. I am now pregnant again and on two blood thinners to save this pregnancy.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-30
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-04
- 2022-01-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-30 | Unsuccessful |
Free text
Release 10 — 12 months, dose 1
Symptoms: Since I received my first vaccine last December I have had 2 miscarriages. My dr said I'm showering small emboli that's are occluding the small placental vessels. I am now pregnant again and on two blood thinners to save this pregnancy.
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 | Office visit | · | · | ✓ |
| SD | Placental disorder | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release