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69Z-94887-18134

2 vaccinations 1 coded response 8 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
802 / CO
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-04-03
    Dose 2 — Moderna
  3. 2021-04-17
    Registered in v-safe
  4. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-07-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-10-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2022-04-03
    Survey response — 12 months, dose 2
    MedDRA: Ectopic pregnancy — Feeling: Good · Be unable to work or attend school
    Free text: Ectopic pregnancy
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna

Free text

Release 11 — 12 months, dose 2

2022-04-03

Symptoms: Ectopic 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

FieldPreferred term2021-092023-042024-11
SDEctopic pregnancy · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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