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U6S-21930-09499

2 vaccinations 2 coded responses 22 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
481 / MI
Registered
2021-03-06
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Moderna
  3. 2021-03-06
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Nausea
    Adult check-in
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-03
    Dose 2 — Moderna
  14. 2021-04-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Muscle or body aches
    Adult check-in
  16. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-17
    Survey response — day 14, dose 2
    MedDRA: Preterm premature rupture of membranes — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Preterm premature rupture of membranes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-17
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-04-19
  25. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-17
    Survey response — day 42, dose 2
    MedDRA: Preterm premature rupture of membranes — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Preterm premature rupture of membranes and delivery at 18 weeks 5 days gestation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-17
    Report sent to call center — day 42, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-05-27
  29. 2021-07-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Preterm premature rupture of membranes

Release 8 — day 42, dose 2

2021-05-17

Symptoms: Preterm premature rupture of membranes and delivery at 18 weeks 5 days gestation

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
SDPreterm premature rupture of membranes ✓ ✓ ✓

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

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