966-31452-19120
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
- 958 / CA
- Registered
- 2021-05-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-14
Dose 1 — Moderna
-
2021-05-15
Registered in v-safe
-
2021-05-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
-
2021-08-13
Survey response — 3 months, dose 1MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Was pregnant. But had at miscarriage at 6 weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-13
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-14 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-13 | Unsuccessful |
Free text
Release 9 — 3 months, dose 1
Symptoms: Was pregnant. But had at miscarriage at 6 weeks.
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 | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release