H2R-33784-97570
3 vaccinations
2 coded responses
12 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 301 / GA
- Registered
- 2021-12-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-26
Dose 2 — Moderna
-
2021-12-08
Registered in v-safe
-
2021-12-08
Dose 3 — Moderna
-
2021-12-08
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: Good · Site: PainFree text: I am pregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-17
- 2021-12-24
-
2021-12-29
Survey response — day 21, dose 3MedDRA: Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: COVID symptoms sore throat, achy body, headache, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-05
- 2022-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | No |
| 2 | 2021-04-26 | Moderna | No |
| 3 | 2021-12-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): I am pregnant
Release 10 — day 21, dose 3
Symptoms: COVID symptoms sore throat, achy body, headache, fatigue
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release