MKW-13699-67548
2 vaccinations
1 coded response
24 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 740 / OK
- Registered
- 2021-09-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-08
Dose 1 — Moderna
-
2021-09-09
Registered in v-safe
- 2021-09-09
- 2021-09-10
- 2021-09-11
- 2021-09-12
- 2021-09-13
- 2021-09-14
- 2021-09-15
- 2021-09-22
- 2021-09-30
-
2021-10-06
Dose 2 — Moderna
- 2021-10-06
-
2021-10-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-14
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-11
- 2021-11-17
-
2022-01-05
Survey response — 3 months, dose 2MedDRA: Stillbirth — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Delivered stillborn at 39 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-01-06
-
2022-01-06
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-08 | Moderna | No |
| 2 | 2021-10-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-05 | Successful 2022-01-06 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 10 — 3 months, dose 2
Symptoms: Delivered stillborn at 39 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Stillbirth | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release