695-86266-60215
4 vaccinations
9 coded responses
48 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 058 / VT
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
R8T-19651-87208
Child or adolescent in my care · Male · 2022-11-08
Timeline
-
2021-01-04
Registered in v-safe
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2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Site: Itching · NauseaFree text: I'm pregnant. Nausea likely unrelated to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Exposure during pregnancy, Nausea — Feeling: Good · NauseaFree text: Pregnant- nausea unlikely to be related to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · NauseaFree text: PregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · NauseaFree text: PregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
-
2021-01-11
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: Good · NauseaFree text: Nausea from pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-25
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2021-02-01
Dose 2 — Moderna
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2021-02-01
Survey response — day 0, dose 2MedDRA: Pregnancy — Feeling: Good · Site: Pain · NauseaFree text: Pregnant- nausea unrelated to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Nausea, Pregnancy — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Nausea likely from pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Nausea — Feeling: Good · NauseaFree text: Nausea likely due to pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · HeadacheAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
-
2022-10-21
Dose 4 — Pfizer-BioNTech
- 2022-11-07
- 2022-11-07
-
2022-11-11
Survey response — day 21, dose 4MedDRA: Urinary tract disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: UTI symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-11-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2023-01-20
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-10-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-11 | Successful 2022-11-14 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I'm pregnant. Nausea likely unrelated to vaccine.
Systemic reaction (other): Pregnant- nausea unlikely to be related to vaccine
Systemic reaction (other): Pregnant
Systemic reaction (other): Pregnant
Release 1 — day 7, dose 1
Systemic reaction (other): Nausea from pregnancy
Release 3 — day 0, dose 2
Systemic reaction (other): Pregnant- nausea unrelated to vaccine
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Nausea likely from pregnancy
Systemic reaction (other): Nausea likely due to pregnancy
Release 12 — day 21, dose 4
Symptoms: UTI symptoms
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 | Urinary tract disorder | · | · | ✓ |
| SRO | Exposure during pregnancy | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release