69C-32434-15006
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 301 / GA
- Registered
- 2021-09-29
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PZ4-13991-67800
Child or adolescent in my care · Female · 2021-12-22
Timeline
-
2021-09-01
Dose 1 — Moderna
-
2021-09-29
Registered in v-safe
-
2021-09-29
Dose 2 — Moderna
-
2021-09-29
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-09-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-01
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Fair · Site: Itching · Fatigue or tiredness, NauseaFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Dyspepsia — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extreme heartburn- Wed. Chest pain- Thurs & FriMedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Good · Site: ItchingFree text: 37 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-05
- 2021-10-14
- 2021-10-20
- 2021-10-28
- 2021-11-09
- 2021-11-12
- 2021-12-31
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-01 | Moderna | No |
| 2 | 2021-09-29 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Pregnancy
Systemic reaction (other): Extreme heartburn- Wed. Chest pain- Thurs & Fri
Systemic reaction (other): 37 weeks pregnant
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 |
|---|---|---|---|---|
| SRO | Chest pain | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release