2LX-19581-30140
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Dose 1 — Moderna
-
2021-04-25
Registered in v-safe
-
2021-04-25
Survey response — day 7, dose 1MedDRA: COVID-19, Immunisation reaction — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Covid armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-09
- 2021-05-17
-
2021-05-20
Dose 2 — Moderna
- 2021-06-04
- 2021-06-10
-
2021-08-19
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pregnancy and related symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-19 | Unsuccessful |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Covid arm
Release 9 — 3 months, dose 2
Symptoms: Pregnancy and related symptoms
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 | Pregnancy | ✓ | · | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ○ |
| SRO | Immunisation reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release