3GH-58614-05882
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 104 / NY
- Registered
- 2021-08-04
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-04
Registered in v-safe
-
2021-08-04
Dose 1 — Moderna
-
2021-08-04
Survey response — day 0, dose 1MedDRA: Increased foetal movements — Feeling: Good · Site: PainFree text: Mi bebe se está moviendo mucho después de la dosis.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-05
Survey response — 3 months, dose 1MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: AjenoMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-05 | Unsuccessful |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Mi bebe se está moviendo mucho después de la dosis.
Release 10 — 3 months, dose 1
Symptoms: Ajeno
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 | Unevaluable event | · | · | ✓ |
| SRO | Increased foetal movements | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release