JJJ-15897-34472
2 vaccinations
1 coded response
13 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 100 / NY
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-02-17
Dose 2 — Moderna
-
2021-02-19
Registered in v-safe
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-02-24
- 2021-03-05
- 2021-03-12
- 2021-03-17
- 2021-03-26
- 2021-04-01
- 2021-05-21
- 2021-08-18
-
2022-02-17
Survey response — 12 months, dose 2MedDRA: Ectopic pregnancy — Feeling: Fair · 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 visitFree text: I have had one ectopic pregnancy diagnosed 2/4/22 at 6weeks 5days.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-17
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-17 | Unsuccessful |
Free text
Release 11 — 12 months, dose 2
Symptoms: I have had one ectopic pregnancy diagnosed 2/4/22 at 6weeks 5days.
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 | Ectopic pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release