5QH-27199-45827
3 vaccinations
3 coded responses
11 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 480 / MI
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-02-02
Dose 2 — Moderna
-
2021-02-09
Registered in v-safe
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-04
- 2021-03-09
- 2021-03-17
- 2021-05-04
- 2021-08-03
-
2021-08-25
Dose 3 — Moderna
-
2021-11-26
Survey response — 3 months, dose 3MedDRA: Pregnancy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-02-23
Survey response — 6 months, dose 3MedDRA: Foetal growth restriction, Pregnancy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Acid reflux. High risk pregnancy with restricted fetal growthMedDRA releases: 2024-11 · check-in free text available
-
2022-02-23
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-25
Call successfulParticipant prefers to complete VAERS report online
-
2022-08-28
Survey response — 12 months, dose 3MedDRA: COVID-19, Pregnancy — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: COVID during pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-08-28
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-08-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-08-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-26 | Successful 2021-11-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-02-23 | Successful 2022-02-25 |
Participant prefers to complete VAERS report online |
| 2022-08-28 | Successful 2022-08-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — 3 months, dose 3
Symptoms: Pregnancy
Release 11 — 6 months, dose 3
Symptoms: Acid reflux. High risk pregnancy with restricted fetal growth
Release 12 — 12 months, dose 3
Symptoms: COVID during pregnancy
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 | Foetal growth restriction | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release