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PHT-29833-84713

2 vaccinations 2 coded responses 3 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
445 / OH
Registered
2021-11-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-12
    Dose 1 — Moderna
  2. 2021-09-10
    Dose 2 — Moderna
  3. 2021-11-10
    Registered in v-safe
  4. 2021-12-12
    Survey response — 3 months, dose 2
    MedDRA: Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-12-12
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  6. 2021-12-14
  7. 2021-12-14
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  8. 2022-03-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2022-09-10
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Had COVID-19 in June at 36 weeks pregnant. Had baby (b)(6)/22.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-09-10
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  11. 2022-09-12

Vaccinations

DoseDateManufacturerCo-administered
12021-08-12Moderna No
22021-09-10Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — 3 months, dose 2

2021-12-12

Symptoms: Pregnancy

Release 12 — 12 months, dose 2

2022-09-10

Symptoms: Had COVID-19 in June at 36 weeks pregnant. Had baby (b)(6)/22.
redacted (b)(6)

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDDelivery · · ✓
SDPregnancy · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release