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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

  1. 2021-06-02
    Registered in v-safe
  2. 2021-08-20
    Dose 1 — Moderna
  3. 2021-08-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-09-11
    Survey response — day 21, dose 1
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair
    Free text: My seasonal allergies have kicked into overdrive.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-17
    Dose 2 — Moderna
  6. 2021-09-17
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-09-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-11-01
    Survey response — day 42, dose 2
    MedDRA: Amniotic fluid volume increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 appointment
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-01
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-11-08
  11. 2021-11-15

Vaccinations

DoseDateManufacturerCo-administered
12021-08-20Moderna No
22021-09-17Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 21, dose 1

2021-09-11

Symptoms: My seasonal allergies have kicked into overdrive.

Release 10 — day 42, dose 2

2021-11-01

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAmniotic fluid volume increased · · ✓
SDHypersensitivity · · ✓
SDPre-existing disease · · ✓

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