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WDH-12711-02030

3 vaccinations 4 coded responses 10 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
980 / WA
Registered
2021-01-16
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
HAT-29105-18320 Child or adolescent in my care · Male · 2022-06-26
BCN-21192-82943 Child or adolescent in my care · Male · 2022-06-26

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Survey response — day 0, dose 1
    MedDRA: Pre-existing condition improved, Pregnancy — Feeling: Good
    Free text: Pregnancy, insulin dependent gestational diabetes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Dose 2 — Moderna
  8. 2021-02-15
    Survey response — day 0, dose 2
    MedDRA: Pregnancy — Feeling: Good · Site: Pain
    Free text: 34 weeks pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Currently pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-30
    Dose 3 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-15Moderna
32021-10-30Moderna No

Free text

Release 2 — day 0, dose 1

2021-01-16

Systemic reaction (other): Pregnancy, insulin dependent gestational diabetes

Release 4 — day 0, dose 2

2021-02-15

Systemic reaction (other): 34 weeks pregnant

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Currently pregnant

2021-02-17

Systemic reaction (other): Pregnancy

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
SROPre-existing condition improved ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓

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

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