RQY-17989-50190
2 vaccinations
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 308 / GA
- Registered
- 2021-06-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4ZP-22860-86028
Adult relative or friend · Male · 2021-08-22
Timeline
-
2021-06-02
Registered in v-safe
-
2021-08-20
Dose 1 — Moderna
-
2021-08-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-11
Survey response — day 21, dose 1MedDRA: Hypersensitivity, Pre-existing disease — Feeling: FairFree text: My seasonal allergies have kicked into overdrive.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Dose 2 — Moderna
-
2021-09-17
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-09-20
-
2021-11-01
Survey response — day 42, dose 2MedDRA: Amniotic fluid volume increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I am 27 weeks pregnant and found out my unborn baby has a Ventricular Septum Defect (VSD) and I also have an excess of amniotic fluid · Healthcare visit (other): Ultrasounds and Obgyn appointmentMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-08
- 2021-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-20 | Moderna | No |
| 2 | 2021-09-17 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 21, dose 1
Symptoms: My seasonal allergies have kicked into overdrive.
Release 10 — day 42, dose 2
Symptoms: I am 27 weeks pregnant and found out my unborn baby has a Ventricular Septum Defect (VSD) and I also have an excess of amniotic fluid
Healthcare visit (other): Ultrasounds and Obgyn appointment
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 | Office visit | · | · | ✓ |
| SD | Amniotic fluid volume increased | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release