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JSH-31211-01109

2 vaccinations 1 coded response 1 check-in 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
503 / IA
Registered
2021-06-11
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-02-08
    Dose 1 — Moderna
  2. 2021-03-12
    Dose 2 — Moderna
  3. 2021-06-11
    Registered in v-safe
  4. 2021-06-11
    Survey response — 3 months, dose 2
    MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Miscarriage at 16 weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-11
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  6. 2021-06-22

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna
22021-03-12Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-06-11 Unsuccessful

Free text

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Miscarriage at 16 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

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

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