844-31521-62516
2 vaccinations
1 coded response
9 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 030 / NH
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-05
Dose 1 — Moderna
-
2021-05-07
Registered in v-safe
- 2021-05-07
- 2021-05-09
- 2021-05-10
- 2021-05-19
-
2021-06-03
Dose 2 — Moderna
-
2021-06-17
Survey response — day 14, dose 2MedDRA: Condition aggravated, Fibromyalgia, Pre-existing disease, Pregnancy — Feeling: Poor · Be unable to do your normal daily activitiesFree text: fibromyalgia pain flare up and pregnancy symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-01
- 2021-07-16
- 2021-09-04
- 2021-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-05 | Moderna | |
| 2 | 2021-06-03 | Moderna |
Free text
Release 9 — day 14, dose 2
Symptoms: fibromyalgia pain flare up and pregnancy 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 | Condition aggravated | · | · | ✓ |
| SD | Fibromyalgia | ✓ | ✓ | ○ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release