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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

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-04-07
    Dose 2 — Moderna
  3. 2021-12-18
    Dose 3 — Moderna
  4. 2021-12-19
    Registered in v-safe
  5. 2021-12-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-12-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  7. 2021-12-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-12-27
    Health check-in — day 7, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2022-01-01
    Survey response — day 14, dose 3
    MedDRA: Hypertension, Office visit, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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 obgyn
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-01-01
    Report sent to call center — day 14, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2022-01-05
  12. 2022-01-08
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  13. 2022-01-10
  14. 2022-01-22
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  15. 2022-01-31
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna No
22021-04-07Moderna No
32021-12-18Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-01 Unsuccessful

Free text

Release 10 — day 14, dose 3

2022-01-01

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDHypertension · · ✓
SDPregnancy · · ✓

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