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
-
2021-06-08
Dose 1 — Moderna
-
2021-07-06
Dose 2 — Moderna
-
2021-08-03
Registered in v-safe
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2021-08-10
Survey response — day 35, dose 2MedDRA: Pregnancy, Respiratory syncytial virus infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Caught RSV from my child and also am 6 weeks pregnant.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Survey response — day 42, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to do your normal daily activitiesFree text: MiscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-05
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work or attend schoolFree text: Exhaustion and headaches (probably result of flu shot on Sept 28)MedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Survey response — 6 months, dose 2MedDRA: 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 professionalFree 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 hemotologistMedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-06
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2022-07-06
Survey response — 12 months, dose 2MedDRA: Pregnancy, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I became pregnant - LMP is Feb 24 I tested positive for Covid on April 11MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-08 | Moderna | No |
| 2 | 2021-07-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-04 | Unsuccessful |
Free text
Release 9 — day 35, dose 2
Symptoms: Caught RSV from my child and also am 6 weeks pregnant.
Release 9 — day 42, dose 2
Symptoms: Miscarriage
Release 10 — 3 months, dose 2
Symptoms: Exhaustion and headaches (probably result of flu shot on Sept 28)
Release 10 — 6 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Antiphospholipid syndrome | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Respiratory syncytial virus infection | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release