3K4-20809-79477
1 vaccination
1 coded response
15 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 705 / LA
- Registered
- 2021-08-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-03
Registered in v-safe
-
2021-08-03
Dose 1 — Moderna
- 2021-08-03
- 2021-08-04
-
2021-08-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-08-06
- 2021-08-07
- 2021-08-09
- 2021-08-10
- 2021-08-17
-
2021-08-24
Survey response — day 21, dose 1MedDRA: Pregnancy, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Tested positive for covid on August 20th and 31 weeks pregnantMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Report sent to call center — day 21, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-08-25
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-31
- 2021-09-07
- 2021-09-14
- 2021-11-02
- 2022-02-01
- 2022-08-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-24 | Successful 2021-08-25 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 21, dose 1
Symptoms: Tested positive for covid on August 20th and 31 weeks pregnant
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 | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release