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SGV-39356-86807

3 vaccinations 1 coded response 8 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
327 / FL
Registered
2022-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
88K-21914-02308 Child or adolescent in my care · Female · 2022-01-17
7FS-17604-85982 Child or adolescent in my care · Male · 2022-01-17
M3V-23011-18132 Child or adolescent in my care · Male · 2022-01-17

Timeline

  1. 2021-04-08
    Dose 1 — Moderna
  2. 2021-05-06
    Dose 2 — Moderna
  3. 2022-01-08
    Dose 3 — Moderna
  4. 2022-01-17
    Registered in v-safe
  5. 2022-01-17
    Survey response — day 7, dose 3
    MedDRA: Pre-existing disease, Pregnancy — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Currently 27wks pregnant. Hx of type B aortic dissection, thoracic aortic aneurysm, AAA, HTN, Marfan Syndrome, osteo arthritis of lower back,prior hx of preeclampsia during 3rd pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-23
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  7. 2022-01-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  8. 2022-02-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  9. 2022-02-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  10. 2022-02-19
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  11. 2022-04-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-07-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna No
22021-05-06Moderna No
32022-01-08Moderna No

Free text

Release 10 — day 7, dose 3

2022-01-17

Systemic reaction (other): Currently 27wks pregnant. Hx of type B aortic dissection, thoracic aortic aneurysm, AAA, HTN, Marfan Syndrome, osteo arthritis of lower back,prior hx of preeclampsia during 3rd pregnancy

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
SROPre-existing disease · · ✓
SROPregnancy · · ✓

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

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