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UCC-90478-23735

3 vaccinations 2 coded responses 14 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
212 / MD
Registered
2021-11-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-04-01
    Dose 2 — Moderna
  3. 2021-11-02
    Registered in v-safe
  4. 2021-11-04
    Dose 3 — Moderna
  5. 2021-11-04
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-11-13
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-11-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-02-05
    Survey response — 3 months, dose 3
    MedDRA: Angiopathy, Pregnancy, Varicose vein, Vascular pain, Vasodilatation — Feeling: Good
    Free text: A vericose vein that is experiencing slow flow, pain, and swelling and is being monitored for blood clotting during my last few weeks of pregnancy.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-05-07
    Survey response — 6 months, dose 3
    MedDRA: Delivery, Thrombosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Gave birth. Had several blood clots. Continuing to have blood clots.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-07
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  20. 2022-05-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna No
22021-04-01Moderna No
32021-11-04Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — 3 months, dose 3

2022-02-05

Symptoms: A vericose vein that is experiencing slow flow, pain, and swelling and is being monitored for blood clotting during my last few weeks of pregnancy.

Release 11 — 6 months, dose 3

2022-05-07

Symptoms: Gave birth. Had several blood clots. Continuing to have blood clots.

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
SDAngiopathy · · ✓
SDDelivery · · ✓
SDPregnancy · · ✓
SDThrombosis · · ✓
SDVaricose vein · · ✓
SDVascular pain · · ✓
SDVasodilatation · · ✓

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