LAJ-26971-13421
3 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 038 / NH
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Moderna
-
2020-12-23
Registered in v-safe
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pregnancy — Feeling: Good · Site: Pain · HeadacheFree text: Please note I am pregnant and have been getting these headaches more in the second trimester. I do not attribute it to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
- 2020-12-29
- 2021-01-06
- 2021-01-12
-
2021-01-19
Dose 2 — Moderna
- 2021-01-19
-
2021-01-20
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication — Feeling: Good · Site: PainFree text: Scheduled tylenol since receipt of immunization last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-04-20
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · HospitalizationFree text: Labor, breech position, cesarean sectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — 3 months, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-20
-
2021-11-12
Dose 3 — Moderna
- 2022-01-19
- 2022-05-13
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Please note I am pregnant and have been getting these headaches more in the second trimester. I do not attribute it to the vaccine.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Scheduled tylenol since receipt of immunization last night
Release 7 — 3 months, dose 2
Symptoms: Labor, breech position, cesarean section
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Exposure during pregnancy | ○ | ○ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release