4V4-17169-50441
3 vaccinations
1 coded response
1 check-in
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 191 / PA
- Registered
- 2022-10-18
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
-
2021-05-12
Dose 1 — Moderna
-
2021-06-09
Dose 2 — Moderna
-
2022-02-18
Dose 3 — Moderna
-
2022-10-18
Registered in v-safe
-
2023-02-21
Survey response — 12 months, dose 3MedDRA: COVID-19, Premature delivery — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-12 | Moderna | No |
| 2 | 2021-06-09 | Moderna | No |
| 3 | 2022-02-18 | Moderna | No |
Free text
None.
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 | COVID-19 | · | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release