VQD-33624-80365
1 vaccination
2 coded responses
6 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 231 / VA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-23
-
2021-02-24
Survey response — day 7, dose 1MedDRA: Foetal cardiac arrest — Feeling: FairFree text: No fetal cardiac activity. Possible fetal demise in uterusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — day 14, dose 1MedDRA: Abortion spontaneous — Feeling: FairFree text: MiscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): No fetal cardiac activity. Possible fetal demise in uterus
Release 5 — day 14, dose 1
Symptoms: Miscarriage
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 | ✓ | ✓ | ✓ |
| SRO | Foetal cardiac arrest | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release