XUP-19502-53054
3 vaccinations
4 coded responses
23 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-08-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-20
Dose 1 — Moderna
-
2021-08-23
Registered in v-safe
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-08-27
- 2021-09-03
-
2021-09-10
Survey response — day 21, dose 1MedDRA: Delivery — Feeling: GoodFree text: I delivered my baby on 9/6/21MedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Dose 2 — Moderna
- 2021-09-17
-
2021-09-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-23
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-12-17
-
2022-02-20
Dose 3 — Moderna
-
2022-03-18
Survey response — 6 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID-19MedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Survey response — 3 months, dose 3MedDRA: Blood iron decreased, Goitre, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Low iron and thyroid goiter · Healthcare visit (other): IV iron infusion x2MedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-25
-
2023-02-20
Survey response — 12 months, dose 3MedDRA: Bronchitis, COVID-19 — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-20
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-21
- 2023-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-20 | Moderna | No |
| 2 | 2021-09-17 | Moderna | No |
| 3 | 2022-02-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-24 | Unsuccessful | |
| 2023-02-20 | Unsuccessful |
Free text
Release 9 — day 21, dose 1
Symptoms: I delivered my baby on 9/6/21
Release 11 — 6 months, dose 2
Symptoms: COVID-19
Release 11 — 3 months, dose 3
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Blood iron decreased | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Goitre | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release