C94-29121-31430
4 vaccinations
1 coded response
28 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 271 / NC
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KUM-16771-04928
Child or adolescent in my care · Female · 2022-06-29
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
-
2021-04-02
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-09
- 2021-05-14
- 2021-07-04
- 2021-10-03
-
2021-11-18
Dose 3 — Moderna
-
2022-04-04
Survey response — 12 months, dose 2MedDRA: Foetal growth restriction, Pre-eclampsia, Premature delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Preeclampsia, IUGR, premature birthMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-04-13
-
2022-04-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-03
Dose 4 — ModernaCo-administered: Flu
- 2022-10-18
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2023-01-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-10-03 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 11 — 12 months, dose 2
Symptoms: Preeclampsia, IUGR, premature birth
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 | Foetal growth restriction | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release