RXX-86983-81125
1 vaccination
1 coded response
7 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 076 / NJ
- Registered
- 2021-01-15
- Relationship
- Self
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
-
2021-01-23
Survey response — day 7, dose 1MedDRA: Induced labour, Premature rupture of membranes — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: I had preterm premature rupture of membranes one week after getting first dose of vaccine. Labor was induced and I had my 34 week old baby the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-28
- 2021-02-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): I had preterm premature rupture of membranes one week after getting first dose of vaccine. Labor was induced and I had my 34 week old baby the next day.
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 |
|---|---|---|---|---|
| SRO | Induced labour | ✓ | ✓ | ✓ |
| SRO | Premature rupture of membranes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release