5H4-13691-84659
3 vaccinations
1 coded response
8 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 787 / TX
- Registered
- 2021-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-04-07
Dose 2 — Moderna
-
2021-12-18
Dose 3 — Moderna
-
2021-12-19
Registered in v-safe
-
2021-12-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-12-23
- 2021-12-27
-
2022-01-01
Survey response — day 14, dose 3MedDRA: Hypertension, Office visit, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My bp has been really high, but i think that has to do more with my 9 months of pregnancy vs anything the vaccine has done · Healthcare visit (other): I have to go in more often to my obgynMedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-05
- 2022-01-08
- 2022-01-10
- 2022-01-22
- 2022-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | No |
| 2 | 2021-04-07 | Moderna | No |
| 3 | 2021-12-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-01 | Unsuccessful |
Free text
Release 10 — day 14, dose 3
Symptoms: My bp has been really high, but i think that has to do more with my 9 months of pregnancy vs anything the vaccine has done
Healthcare visit (other): I have to go in more often to my obgyn
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release