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QPS-15059-27945

2 vaccinations 5 coded responses 5 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
079 / NJ
Registered
2021-08-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-08
    Dose 1 — Moderna
  2. 2021-07-06
    Dose 2 — Moderna
  3. 2021-08-03
    Registered in v-safe
  4. 2021-08-10
    Survey response — day 35, dose 2
    MedDRA: Pregnancy, Respiratory syncytial virus infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Caught RSV from my child and also am 6 weeks pregnant.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-17
    Survey response — day 42, dose 2
    MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Miscarriage
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-10-05
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work or attend school
    Free text: Exhaustion and headaches (probably result of flu shot on Sept 28)
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-04
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous, Antiphospholipid syndrome, Nasopharyngitis, Office visit, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Had a cold but tested negative for covid Had a second consecutive miscarriage Was diagnosed with APS · Healthcare visit (other): Visited OBGYN and hemotologist
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-04
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2022-01-06
  10. 2022-07-06
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I became pregnant - LMP is Feb 24 I tested positive for Covid on April 11
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-06-08Moderna No
22021-07-06Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-04 Unsuccessful

Free text

Release 9 — day 35, dose 2

2021-08-10

Symptoms: Caught RSV from my child and also am 6 weeks pregnant.

Release 9 — day 42, dose 2

2021-08-17

Symptoms: Miscarriage

Release 10 — 3 months, dose 2

2021-10-05

Symptoms: Exhaustion and headaches (probably result of flu shot on Sept 28)

Release 10 — 6 months, dose 2

2022-01-04

Symptoms: Had a cold but tested negative for covid Had a second consecutive miscarriage Was diagnosed with APS
Healthcare visit (other): Visited OBGYN and hemotologist

Release 12 — 12 months, dose 2

2022-07-06

Symptoms: I became pregnant - LMP is Feb 24 I tested positive for Covid on April 11

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
HCVOOffice visit · · ✓
SDAbortion spontaneous ✓ · ✓
SDAntiphospholipid syndrome · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDNasopharyngitis · · ✓
SDPregnancy ✓ · ✓
SDRespiratory syncytial virus infection ✓ · ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓

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