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52V-19576-85930

2 vaccinations 1 coded response 2 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
537 / WI
Registered
2021-05-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-29
    Dose 1 — Moderna
  2. 2021-04-26
    Dose 2 — Moderna
  3. 2021-05-04
    Registered in v-safe
  4. 2021-05-04
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-07-28
    Survey response — 3 months, dose 2
    MedDRA: Gastroenteritis viral, Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: 1) pregnancy2) stomach flu
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-29Moderna
22021-04-26Moderna

Free text

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: 1) pregnancy2) stomach flu

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
SDGastroenteritis viral ✓ · ✓
SDPregnancy ✓ · ✓

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