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4GU-25877-22572

2 vaccinations 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
303 / GA
Registered
2021-10-27
Relationship
Child or adolescent in my care
Guardian
3ZR-20849-37596
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-11
    Dose 1 — Moderna
    Co-administered: Other
  2. 2021-10-11
    Dose 2 — Moderna
    Co-administered: Other
  3. 2021-10-27
    Registered in v-safe
  4. 2021-10-27
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  5. 2021-11-01
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  6. 2021-11-09
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  7. 2021-11-15
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  8. 2021-11-22
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  9. 2022-01-10
    Survey response — 3 months, dose 2, dependent
    MedDRA: COVID-19, Premature delivery — Feeling: Good · Be unable to do your normal daily activities
    Free text: Went into labor they took my blood and it came back I had Covid . The twins was tested, they was okay. Not able to see babies for six days. ( Born two months early)
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-04-14

Vaccinations

DoseDateManufacturerCo-administered
12021-09-11Moderna Other
22021-10-11Moderna Other

Free text

Release 10 — 3 months, dose 2, dependent

2022-01-10

Symptoms: Went into labor they took my blood and it came back I had Covid . The twins was tested, they was okay. Not able to see babies for six days. ( Born two months early)

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDPremature delivery · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release