UG6-15657-00672
2 vaccinations
2 coded responses
26 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
-
2021-03-24
Survey response — day 21, dose 1MedDRA: Diarrhoea — Feeling: FairFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-09
- 2021-04-14
- 2021-04-23
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
-
2022-03-31
Survey response — 12 months, dose 2MedDRA: COVID-19, Deep vein thrombosis, Delivery, Gestational hypertension, Hospitalisation, Pre-eclampsia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Covid-19, preeclampsia, gestational hypertension and a deep vein thrombosis · Healthcare visit (other): Was hospitalized for 10 days after delivering my baby in late February/early March. Had Covid in late January with mild symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-03-31
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-04
-
2022-04-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 21, dose 1
Symptoms: Diarrhea
Release 11 — 12 months, dose 2
Symptoms: Covid-19, preeclampsia, gestational hypertension and a deep vein thrombosis
Healthcare visit (other): Was hospitalized for 10 days after delivering my baby in late February/early March. Had Covid in late January with mild symptoms
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 |
|---|---|---|---|---|
| HCVO | COVID-19 | · | · | ✓ |
| HCVO | Delivery | · | · | ✓ |
| HCVO | Hospitalisation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Deep vein thrombosis | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gestational hypertension | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release