RV3-26499-86585
3 vaccinations
3 coded responses
21 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 300 / GA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
- 2020-12-31
- 2021-01-05
- 2021-01-12
-
2021-01-19
Dose 2 — Moderna
- 2021-01-19
-
2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-25
- 2021-01-28
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-04-20
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Preterm rupture of membranes and preterm birthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
-
2021-07-20
Survey response — 6 months, dose 2MedDRA: Delivery, Hospitalisation, Premature rupture of membranes — 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 · HospitalizationFree text: I had premature rupture of membranes. Hospitalized x 14 days. My baby girl was born at 34 weeks. She was in NiCU x 19 days and now is home and healthy.MedDRA releases: 2024-11 · check-in free text available
-
2021-07-20
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-22
-
2021-11-01
Dose 3 — Moderna
- 2022-01-19
- 2022-02-02
- 2022-05-02
-
2022-11-01
Survey response — 12 months, dose 3MedDRA: Emergency care, Supraventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: ER visit due to svtMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-11-02
- 2022-11-02
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 7 — 3 months, dose 2
Symptoms: Preterm rupture of membranes and preterm birth
Release 9 — 6 months, dose 2
Symptoms: I had premature rupture of membranes. Hospitalized x 14 days. My baby girl was born at 34 weeks. She was in NiCU x 19 days and now is home and healthy.
Release 12 — 12 months, dose 3
Symptoms: ER visit due to svt
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 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Premature rupture of membranes | · | · | ✓ |
| SD | Supraventricular tachycardia | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release