MJS-31198-87509
4 vaccinations
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 070 / NJ
- Registered
- 2022-07-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-03-16
Dose 2 — Moderna
-
2021-11-16
Dose 3 — Moderna
-
2022-06-06
Dose 4 — Moderna
-
2022-07-06
Registered in v-safe
- 2022-07-06
- 2022-07-11
-
2022-07-18
Survey response — day 42, dose 4MedDRA: 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 visitFree text: Pregnancy lossMedDRA releases: 2024-11 · check-in free text available
-
2022-07-18
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-19
-
2022-09-08
Survey response — 3 months, dose 4MedDRA: Inflammation, Urinary tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Consistent utis and inflammationMedDRA releases: 2024-11 · check-in free text available
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | No |
| 2 | 2021-03-16 | Moderna | No |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-06-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-18 | Unsuccessful |
Free text
Release 12 — day 42, dose 4
Symptoms: Pregnancy loss
Release 12 — 3 months, dose 4
Symptoms: Consistent utis and inflammation
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 | Inflammation | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release