FD4-28215-40422
3 vaccinations
2 coded responses
3 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 188 / PA
- Registered
- 2022-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-02-05
Dose 2 — Moderna
-
2022-01-21
Registered in v-safe
-
2022-01-21
Dose 3 — Moderna
-
2022-01-21
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: Good · Site: PainFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-24
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: PMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | No |
| 2 | 2021-02-05 | Moderna | No |
| 3 | 2022-01-21 | Moderna | No |
Free text
Release 11 — day 0, dose 3
Systemic reaction (other): Pregnancy
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): P
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 |
|---|---|---|---|---|
| SRO | Pregnancy | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release