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AV9-17638-65004

1 vaccination 2 coded responses 2 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
010 / MA
Registered
2021-05-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-03
    Dose 1 — Moderna
  2. 2021-05-14
    Registered in v-safe
  3. 2021-05-14
    Survey response — day 35, dose 1
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Diagnosed with a miscarriage at 7 weeks gestation, which was six weeks after the date of my first vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-14
    Report sent to call center — day 35, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-05-16
    Survey response — day 42, dose 1
    MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with a miscarriage on ultrasound
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-16
    Report sent to call center — day 42, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-06-02
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-04-03Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-14 Successful Participant prefers to complete VAERS report online
2021-05-16 Successful
2021-06-02
Participant prefers to complete VAERS report online

Free text

Release 8 — day 35, dose 1

2021-05-14

Symptoms: Diagnosed with a miscarriage at 7 weeks gestation, which was six weeks after the date of my first vaccination.

Release 8 — day 42, dose 1

2021-05-16

Symptoms: Diagnosed with a miscarriage on ultrasound

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous ✓ ✓ ✓

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