GXQ-18422-21001 · OpenVSafe

Timeline

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

2020-12-28
Dose 1 — Moderna
2021-01-27
Dose 2 — Moderna
2021-07-19
Registered in v-safe
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Emotional distress, Malaise, Medical counselling, Pyrexia — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I received my 2nd vaccine 1/27/21 and had a miscarriage within 70 hours of receiving the dose. I was pretty ill with fevers, etc following the vaccine and too devastated to report my symptoms until now but want to bring it to your attention. · Healthcare visit (other): Call with OB on steps to take following miscarriage.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna	No
2	2021-01-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-28	Unsuccessful

Free text

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: I received my 2nd vaccine 1/27/21 and had a miscarriage within 70 hours of receiving the dose. I was pretty ill with fevers, etc following the vaccine and too devastated to report my symptoms until now but want to bring it to your attention.

Healthcare visit (other): Call with OB on steps to take following 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

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Abortion spontaneous	✓	·	✓
HCVO	Medical counselling	✓	·	✓
SD	Abortion spontaneous	✓	·	✓
SD	Emotional distress	✓	·	✓
SD	Malaise	✓	·	✓
SD	Pyrexia	✓	·	✓

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