K49-40458-96217
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 103 / NY
- Registered
- 2021-08-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-02-20
Dose 2 — Moderna
-
2021-08-05
Registered in v-safe
-
2021-08-21
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Unevaluable event, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: After the vaccine, about a week later, I had a miscarriage. That hasnt been previously reported. That was February. Recent symptoms include vertigo, which started a few weeks ago. · Healthcare visit (other): Still trying to reach a doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-21
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2022-02-22
Survey response — 12 months, dose 2MedDRA: Office visit, Seizure like phenomena — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I can't remember if I reported it, but I was having seizure-like sensations for a month or two. They went away and came back briefly. · Healthcare visit (other): SpecialistsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | No |
| 2 | 2021-02-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-21 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-02-22 | Successful 2022-02-23 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 6 months, dose 2
Symptoms: After the vaccine, about a week later, I had a miscarriage. That hasnt been previously reported. That was February. Recent symptoms include vertigo, which started a few weeks ago.
Healthcare visit (other): Still trying to reach a doctor
Release 11 — 12 months, dose 2
Symptoms: I can't remember if I reported it, but I was having seizure-like sensations for a month or two. They went away and came back briefly.
Healthcare visit (other): Specialists
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 | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Seizure like phenomena | · | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release