KMX-21779-29977
2 vaccinations
1 coded response
13 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 231 / VA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-27
Survey response — 14 day, dose 1MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-27
Report sent to call center — 14 day, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-27 | priority 2/3 |
Free text
Release 2
Symptoms: Miscarriage
Free-text releases are not linked to a specific 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 | Abortion spontaneous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release