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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

  1. 2021-03-01
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  4. 2021-03-08
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2022-03-01
    Survey response — 12 months, dose 1
    MedDRA: Induced labour, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free 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 monitoring
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-03-01
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  7. 2022-03-03
  8. 2022-03-03
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — 12 months, dose 1

2022-03-01

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

FieldPreferred term2021-092023-042024-11
HCVOPre-existing disease · · ✓
SDInduced labour · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release