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C3V-24353-82546

3 vaccinations 6 coded responses 13 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
180 / PA
Registered
2021-11-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Dose 1 — Moderna
  2. 2021-02-03
    Dose 2 — Moderna
  3. 2021-11-05
    Registered in v-safe
  4. 2021-11-05
    Dose 3 — Moderna
  5. 2021-11-05
    Survey response — day 0, dose 3
    MedDRA: Pregnancy — Feeling: Good · Site: Pain
    Free text: 27 weeks pregnant
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I misread the pregnancy question. I want it known that I'm pregnant in order to help others
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · None
    Adult check-in
  9. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Pregnant, I had TDap shot yesterday
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-12
    Survey response — day 7, dose 3
    MedDRA: Pregnancy, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Fever
    Free text: Pregnant TDap 11/10 100.4 temp that resolved with Tylenol
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna No
22021-02-03Moderna No
32021-11-05Moderna No

Free text

Release 10 — day 0, dose 3

2021-11-05

Systemic reaction (other): 27 weeks pregnant

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): I misread the pregnancy question. I want it known that I'm pregnant in order to help others

2021-11-07

Systemic reaction (other): Pregnant

2021-11-09

Systemic reaction (other): Pregnant

2021-11-11

Systemic reaction (other): Pregnant, I had TDap shot yesterday

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): Pregnant TDap 11/10 100.4 temp that resolved with Tylenol

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
SROPregnancy · · ✓
SROPyrexia · · ✓
SROSelf-medication · · ✓

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