S5Q-21983-96068
2 vaccinations
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 171 / PA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-02-11
Dose 2 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Stillbirth — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Stillbirth at 33 weeks. Baby with trisomy 18MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-12 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: Stillbirth at 33 weeks. Baby with trisomy 18
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