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BNP-12036-29876

2 vaccinations 2 coded responses 4 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
21-25
ZIP prefix
550 / MN
Registered
2021-06-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-05
    Dose 1 — Moderna
  2. 2021-06-01
    Registered in v-safe
  3. 2021-06-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-06-02
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-06-03
    Dose 2 — Moderna
  6. 2021-06-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abortion spontaneous — Feeling: Poor · Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Miscarriage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-09
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-06-10
    Survey response — day 7, dose 2
    MedDRA: Abortion spontaneous — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities
    Free text: Miscarriage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-11

Vaccinations

DoseDateManufacturerCo-administered
12021-05-05Moderna
22021-06-03Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-06-09 Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-09

Systemic reaction (other): Miscarriage

Release 9 — day 7, dose 2

2021-06-10

Systemic reaction (other): Miscarriage

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
SROAbortion spontaneous ✓ ✓ ✓

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

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