965-94360-87373
2 vaccinations
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 941 / CA
- Registered
- 2021-07-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Moderna
-
2021-04-27
Dose 2 — Moderna
-
2021-07-14
Registered in v-safe
-
2021-08-03
Survey response — 3 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnant · Healthcare visit (other): OBGYNMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | No |
| 2 | 2021-04-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 3 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release