X3V-92165-40647
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 554 / MN
- Registered
- 2021-05-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-13
Dose 1 — Moderna
-
2021-05-16
Registered in v-safe
-
2021-05-16
Survey response — days 1–6 daily, dose 1MedDRA: Menstruation delayed — Feeling: GoodFree text: My period is few days lateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
-
2021-06-11
Dose 2 — Moderna
- 2021-06-17
- 2021-06-18
-
2021-06-25
Survey response — day 14, dose 2MedDRA: Pregnancy — Feeling: FairFree text: I am currently 5 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-03
- 2021-07-09
- 2021-07-18
- 2021-07-23
- 2021-09-10
- 2021-12-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Moderna | |
| 2 | 2021-06-11 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): My period is few days late
Release 9 — day 14, dose 2
Symptoms: I am currently 5 weeks pregnant
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 | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Menstruation delayed | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release