5PQ-96744-32075
3 vaccinations
2 coded responses
13 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 980 / WA
- Registered
- 2022-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Dose 1 — Moderna
-
2021-03-13
Dose 2 — Moderna
-
2022-01-29
Registered in v-safe
-
2022-01-29
Dose 3 — Moderna
- 2022-01-29
- 2022-01-30
-
2022-02-02
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pregnancy (2nd trimester)MedDRA releases: 2024-11 · check-in free text available
- 2022-02-03
- 2022-02-04
- 2022-02-07
- 2022-02-12
- 2022-02-19
- 2022-02-26
- 2022-03-05
- 2022-03-12
- 2022-05-02
-
2023-01-31
Survey response — 12 months, dose 3MedDRA: Cholecystectomy, Cholelithiasis, Gestational diabetes, Perinatal depression, Postpartum anxiety — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-01-31
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2023-02-01
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | No |
| 2 | 2021-03-13 | Moderna | No |
| 3 | 2022-01-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-31 | Successful 2023-02-01 |
Completed over the phone |
Free text
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Pregnancy (2nd trimester)
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 | Cholecystectomy | · | · | ✓ |
| SD | Cholelithiasis | · | · | ✓ |
| SD | Gestational diabetes | · | · | ✓ |
| SD | Perinatal depression | · | · | ✓ |
| SD | Postpartum anxiety | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release