B6Q-10820-34419
1 vaccination
2 coded responses
6 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 240 / VA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · HeadacheFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-26
- 2021-02-04
-
2021-02-09
Survey response — day 28, dose 1MedDRA: Pregnancy — Feeling: FairFree text: I am pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pain
Release 3 — day 28, 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 | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release