PZR-12985-08109
2 vaccinations
1 coded response
4 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 639 / MO
- Registered
- 2021-11-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-27
Dose 1 — Moderna
-
2021-11-01
Registered in v-safe
-
2021-11-01
Dose 2 — Moderna
- 2021-11-01
-
2021-11-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-17
-
2022-05-05
Survey response — 6 months, dose 2MedDRA: Delivery, Hospitalisation — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Infant born with true knot in cord · Healthcare visit (other): Already in hospitalMedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-27 | Moderna | No |
| 2 | 2021-11-01 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — 6 months, dose 2
Symptoms: Infant born with true knot in cord
Healthcare visit (other): Already in hospital
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 | Hospitalisation | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release