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CBQ-27508-38620

2 vaccinations 8 coded responses 14 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
795 / TX
Registered
2021-08-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-18
    Dose 1 — Moderna
  2. 2021-08-22
    Registered in v-safe
  3. 2021-08-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-08-25
    Survey response — day 7, dose 1
    MedDRA: Adenomyosis, Endometriosis, Pregnancy — Feeling: Fair · Fatigue or tiredness, Vomiting, Abdominal pain
    Free text: I am pregnant and have Endometriosis/Adenomyosis
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-09-03
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-09-10
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-09-13
    Dose 2 — Moderna
  8. 2021-09-13
    Survey response — day 0, dose 2
    MedDRA: Adenomyosis, Endometriosis, Pregnancy — Feeling: Good · Fever · Headache, Nausea, Vomiting, Abdominal pain
    Free text: Endometriosis, Adenomyosis, 10 weeks pregnant
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-09-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adenomyosis, Endometriosis, Pregnancy — Feeling: Good · Site: Pain · Headache, Nausea, Vomiting
    Free text: Pregnant, Endometriosis, Adenomyosis
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-09-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adenomyosis, Endometriosis, Pregnancy — Feeling: Good · Site: Pain · Headache, Nausea, Vomiting
    Free text: Pregnant, Endometriosis, Adenomyosis
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-09-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adenomyosis, Endometriosis, Pregnancy — Feeling: Good · Headache, Nausea, Vomiting
    Free text: Pregnant Endometriosis Adenomyosis
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-09-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adenomyosis, Endometriosis, Pregnancy — Feeling: Good · Headache, Nausea, Vomiting
    Free text: Pregnant, Endometriosis, Adenomyosis
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-09-20
    Survey response — day 7, dose 2
    MedDRA: Pregnancy — Feeling: Good · Nausea, Vomiting
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-09-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-18Moderna No
22021-09-13Moderna No

Free text

Release 9 — day 7, dose 1

2021-08-25

Systemic reaction (other): I am pregnant and have Endometriosis/Adenomyosis

Release 9 — day 0, dose 2

2021-09-13

Systemic reaction (other): Endometriosis, Adenomyosis, 10 weeks pregnant

Release 9 — days 1–6 daily, dose 2

2021-09-14

Systemic reaction (other): Pregnant

2021-09-15

Systemic reaction (other): Pregnant, Endometriosis, Adenomyosis

2021-09-16

Systemic reaction (other): Pregnant, Endometriosis, Adenomyosis

2021-09-17

Systemic reaction (other): Pregnant Endometriosis Adenomyosis

2021-09-19

Systemic reaction (other): Pregnant, Endometriosis, Adenomyosis

Release 9 — day 7, dose 2

2021-09-20

Systemic reaction (other): 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

FieldPreferred term2021-092023-042024-11
SROAdenomyosis ✓ · ✓
SROEndometriosis ✓ · ✓
SROPregnancy ✓ · ✓

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