TQ8-28533-65640
4 vaccinations
1 coded response
24 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 549 / WI
- Registered
- 2021-11-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZZ2-11806-20422
Child or adolescent in my care · Male · 2021-11-15
G9D-13771-83108
Child or adolescent in my care · Male · 2022-09-18
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-31
Dose 2 — Moderna
-
2021-11-10
Dose 3 — Moderna
-
2021-11-15
Registered in v-safe
- 2021-11-15
- 2021-11-16
-
2021-11-19
Survey response — day 7, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: I'm pregnantMedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-09
- 2022-05-11
-
2022-09-17
Dose 4 — Moderna
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-12-17
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | No |
| 2 | 2021-03-31 | Moderna | No |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-09-17 | Moderna | No |
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): I'm pregnant
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 | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release