UN4-19866-22850
3 vaccinations
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 551 / MN
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-04-19
Dose 2 — Moderna
-
2021-04-24
Registered in v-safe
- 2021-04-24
- 2021-04-25
- 2021-04-28
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-20
-
2021-11-27
Dose 3 — Moderna
- 2022-04-19
-
2022-11-27
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Blood test abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage (6/2022), positive blood test for Graves' disease antibodies (11/2022)MedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-27 | Unsuccessful |
Free text
Release 12 — 12 months, dose 3
Symptoms: Miscarriage (6/2022), positive blood test for Graves' disease antibodies (11/2022)
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 | Blood test abnormal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release