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
-
2021-08-05
Dose 1 — Moderna
-
2021-09-08
Dose 2 — Moderna
-
2021-10-09
Registered in v-safe
- 2021-10-09
-
2021-10-13
Survey response — day 35, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a miscarriage at almost 7 weeks pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-18
Call successfulParticipant prefers to complete VAERS report online
-
2021-12-08
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-05 | Moderna | No |
| 2 | 2021-09-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-13 | Successful 2021-10-18 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — day 35, dose 2
Symptoms: I had a miscarriage at almost 7 weeks pregnant.
Release 10 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release