H42-16495-42284
3 vaccinations
2 coded responses
15 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 064 / CT
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-10
-
2021-02-12
Dose 2 — Moderna
-
2021-11-22
Dose 3 — Moderna
-
2022-01-06
Survey response — 12 months, dose 1MedDRA: Hypertension, Postpartum state, Pre-eclampsia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Symptoms: Allergy, hypertension · Healthcare visit (other): Postpartum preeclampsiaMedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Survey response — day 42, dose 3MedDRA: Food allergy, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Continuous hypertension and allergy to new foodMedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
-
2022-01-06
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-07
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-12 | Moderna | No |
| 3 | 2021-11-22 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — 12 months, dose 1
Release 10 — day 42, dose 3
Symptoms: Continuous hypertension and allergy to new food
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 |
|---|---|---|---|---|
| HCVO | Postpartum state | · | · | ✓ |
| HCVO | Pre-eclampsia | · | · | ✓ |
| SD | Food allergy | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release