68A-32415-03620 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-29
Dose 1 — Moderna
2021-01-25
Dose 2 — Moderna
2021-05-17
Registered in v-safe
2021-11-03
Dose 3 — Moderna
2022-05-04
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous, Premature labour — 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 professional · Hospitalization

Free text: Preterm labor at 23 weeks resulting in infant death

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-05-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-25	Moderna
3	2021-11-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-04	Successful 2022-05-05	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: Preterm labor at 23 weeks resulting in infant death

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	Premature labour	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release