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T54-11938-11067

2 vaccinations 2 coded responses 3 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
937 / CA
Registered
2021-10-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-05
    Dose 1 — Moderna
  2. 2021-09-08
    Dose 2 — Moderna
  3. 2021-10-09
    Registered in v-safe
  4. 2021-10-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-10-13
    Survey response — day 35, dose 2
    MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had a miscarriage at almost 7 weeks pregnant.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-13
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  7. 2021-10-18
    Call successful
    Participant prefers to complete VAERS report online
  8. 2021-12-08
    Survey response — 3 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-05Moderna No
22021-09-08Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-13 Successful
2021-10-18
Participant prefers to complete VAERS report online

Free text

Release 10 — day 35, dose 2

2021-10-13

Symptoms: I had a miscarriage at almost 7 weeks pregnant.

Release 10 — 3 months, dose 2

2021-12-08

Symptoms: Pregnancy

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
SDAbortion spontaneous · · ✓
SDPregnancy · · ✓

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