UGB-22107-33320
4 vaccinations
1 coded response
30 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 064 / CT
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-11
Registered in v-safe
-
2021-04-11
Dose 1 — Moderna
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-18
- 2021-04-25
- 2021-05-02
-
2021-05-09
Dose 2 — Moderna
- 2021-05-16
- 2021-05-23
- 2021-05-30
- 2021-06-06
- 2021-06-13
- 2021-06-20
- 2021-08-08
-
2021-11-26
Dose 3 — Moderna
- 2022-05-09
-
2022-10-12
Dose 4 — Pfizer-BioNTech
- 2022-10-12
-
2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-14
-
2022-10-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-26
-
2022-11-02
Survey response — day 21, dose 4MedDRA: Preterm premature rupture of membranes — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: PPROM that so far seems to have spontaneously resealed thankfully.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-02
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-11-03
-
2022-11-03
Call successfulCompleted over the phone
- 2022-11-09
- 2022-11-16
- 2022-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Moderna | |
| 2 | 2021-05-09 | Moderna | |
| 3 | 2021-11-26 | Moderna | No |
| 4 | 2022-10-12 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — day 21, dose 4
Symptoms: PPROM that so far seems to have spontaneously resealed thankfully.
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 |
|---|---|---|---|---|
| SD | Preterm premature rupture of membranes | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release