PFQ-19550-00791
2 vaccinations
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 633 / MO
- Registered
- 2021-11-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-08
Dose 1 — Moderna
-
2021-11-21
Registered in v-safe
- 2021-11-21
-
2021-11-23
Dose 2 — Moderna
- 2022-01-07
-
2022-01-07
Survey response — 3 months, dose 1MedDRA: Polyhydramnios, Pregnancy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Polyhydramnios during third trimester of pregnancy. · Healthcare visit (other): Additional ultrasounds with maternal fetal medicineMedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-08 | Moderna | No |
| 2 | 2021-11-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — 3 months, dose 1
Symptoms: Polyhydramnios during third trimester of pregnancy.
Healthcare visit (other): Additional ultrasounds with maternal fetal medicine
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 | Unevaluable event | · | · | ✓ |
| SD | Polyhydramnios | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release