QZE-92539-14654
2 vaccinations
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 096
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-02-24
Dose 2 — Moderna
-
2021-04-02
Registered in v-safe
-
2021-04-02
Survey response — day 35, dose 2MedDRA: Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I had a baby (b)(6). His initial newborn screen came back abnormal for C5DC. His repeat newborn screen on 15 Feb returned a normal result.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 35, dose 2
Symptoms: I had a baby (b)(6). His initial newborn screen came back abnormal for C5DC. His repeat newborn screen on 15 Feb returned a normal result.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Delivery | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release