6YR-70840-00583
3 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 471 / IN
- Registered
- 2022-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Moderna
-
2021-03-03
Dose 2 — Moderna
-
2021-12-31
Dose 3 — Moderna
-
2022-01-01
Registered in v-safe
-
2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fatigue consistent with pregnancy fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-06
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-01-28
-
2022-02-04
Survey response — day 35, dose 3MedDRA: COVID-19 — Feeling: Fair · 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, Emergency room or emergency department visitFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-02-04
Report sent to call center — day 35, 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-08
- 2022-02-11
- 2022-04-01
- 2022-07-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | No |
| 2 | 2021-03-03 | Moderna | No |
| 3 | 2021-12-31 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-04 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fatigue consistent with pregnancy fatigue
Release 11 — day 35, dose 3
Symptoms: COVID
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 | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release