QAV-35625-45340
1 vaccination
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-03-08
-
2022-03-01
Survey response — 12 months, dose 1MedDRA: Induced labour, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I wanted to report that I got pregnant in mid March. Two weeks after my first vaccine and two weeks before my second dose. in the final sonogram at 38 weeks a heart defect was noticed in our son. I was induced and he was born with a CHD. · Healthcare visit (other): His CHD specifically is a dysplastic tricuspid valve with moderate regurgitation. He will most likely need open heart surgery by age 5 to repair the valve. He was born 12/7/2021 and spent 4 days in the nicu for testing and monitoringMedDRA releases: 2024-11 · check-in free text available
-
2022-03-01
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-03-03
-
2022-03-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 11 — 12 months, dose 1
Symptoms: I wanted to report that I got pregnant in mid March. Two weeks after my first vaccine and two weeks before my second dose. in the final sonogram at 38 weeks a heart defect was noticed in our son. I was induced and he was born with a CHD.
Healthcare visit (other): His CHD specifically is a dysplastic tricuspid valve with moderate regurgitation. He will most likely need open heart surgery by age 5 to repair the valve. He was born 12/7/2021 and spent 4 days in the nicu for testing and monitoring
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 | Pre-existing disease | · | · | ✓ |
| SD | Induced labour | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release