65V-26464-69311
3 vaccinations
1 coded response
3 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 201 / VA
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-19
Dose 2 — Moderna
-
2021-02-21
Registered in v-safe
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Site: Pain · Abdominal painFree text: Had a miscarriage last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-24
Dose 3 — Moderna
- 2021-12-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-09-24 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Had a miscarriage last night
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 |
|---|---|---|---|---|
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release