XEK-31240-82814
4 vaccinations
1 coded response
8 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 970 / OR
- Registered
- 2021-07-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
P2J-29795-83007
Child or adolescent in my care · Female · 2022-08-11
Timeline
-
2021-01-10
Dose 1 — Moderna
-
2021-02-06
Dose 2 — Moderna
-
2021-07-18
Registered in v-safe
-
2021-08-07
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Pre-existing disease, Pregnancy — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Pregnancy and asthma increaseMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-07
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-10
-
2021-11-04
Dose 3 — Moderna
- 2022-02-06
-
2022-09-09
Dose 4 — Moderna
- 2022-09-09
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-11
- 2022-09-12
- 2022-09-16
- 2022-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | No |
| 2 | 2021-02-06 | Moderna | No |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-09-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-07 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: Pregnancy and asthma increase
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release