X3R-33724-05525
2 vaccinations
2 coded responses
26 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 378 / TN
- Registered
- 2021-08-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-06
Registered in v-safe
-
2021-08-06
Dose 1 — Moderna
-
2021-08-06
Survey response — day 0, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: I am 32 weeks pregnantMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-08-08
- 2021-08-09
- 2021-08-10
- 2021-08-11
- 2021-08-12
- 2021-08-13
- 2021-08-20
- 2021-08-27
-
2021-09-03
Dose 2 — ModernaCo-administered: Tetanus
- 2021-09-03
-
2021-09-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-05
- 2021-09-06
- 2021-09-07
- 2021-09-08
- 2021-09-09
- 2021-09-10
- 2021-09-17
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-12-03
-
2022-03-04
Survey response — 6 months, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: Tested positive for COVID January 11, 2022MedDRA releases: 2024-11 · check-in free text available
- 2022-09-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-06 | Moderna | No |
| 2 | 2021-09-03 | Moderna | Tetanus |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): I am 32 weeks pregnant
Release 11 — 6 months, dose 2
Symptoms: Tested positive for COVID January 11, 2022
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 | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release