69H-16136-49671
1 vaccination
2 coded responses
4 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 212 / MD
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Dose 1 — Moderna
-
2021-02-20
Registered in v-safe
- 2021-02-20
- 2021-02-21
-
2021-03-01
Survey response — day 14, dose 1MedDRA: Headache — Feeling: FairFree text: Bad headache, probably from staring at a computer all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-16
Survey response — 6 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: I am pregnant.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: Bad headache, probably from staring at a computer all day.
Release 9 — 6 months, dose 1
Symptoms: I am 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 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release