L4F-81129-46419
1 vaccination
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 740 / OK
- Registered
- 2021-09-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-01
Dose 1 — Moderna
-
2021-09-08
Registered in v-safe
-
2021-09-08
Survey response — day 7, dose 1MedDRA: Abortion spontaneous — Feeling: Fair · Site: Pain · Headache, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
- 2021-09-15
- 2021-09-22
-
2021-10-01
Survey response — day 28, dose 1MedDRA: Abortion spontaneous, Malaise — 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 · Emergency room or emergency department visit, HospitalizationFree text: I miscarried a healthy baby a few days after the first shot as I was violently illMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Report sent to call center — day 28, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-10-04
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-01 | Successful 2021-10-04 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 7, dose 1
Systemic reaction (other): Miscarriage
Release 9 — day 28, dose 1
Symptoms: I miscarried a healthy baby a few days after the first shot as I was violently ill
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 | Abortion spontaneous | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Abortion spontaneous | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release