Y9W-10314-54105
4 vaccinations
6 coded responses
41 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 038 / NH
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
NJM-62193-57174
Child or adolescent in my care · Male · 2022-06-22
4UP-50715-32126
Child or adolescent in my care · Male · 2022-06-22
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Site: PainFree text: 33 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Survey response — day 21, dose 1MedDRA: COVID-19, SARS-CoV-2 test negative — Feeling: FairFree text: Sessional allergies with limited treatment options due to pregnancy. Symptoms triggered request from employer to get COVID test. Test came back negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: 37weeks 5 days pregnant and experiencing some mild and irregular contractionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
-
2021-04-16
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-04-22
- 2021-04-29
-
2021-05-06
Survey response — day 28, dose 2MedDRA: Emergency care, Hypertension, Pre-eclampsia — Feeling: GoodFree text: High blood pressure resulted in trip to the hospital and diagnosed with postpartum preeclampsia 13 days after delivery.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2021-10-30
Dose 3 — Moderna
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-16
- 2021-11-20
- 2021-12-04
- 2021-12-11
- 2022-01-29
-
2022-05-02
Survey response — 6 months, dose 3MedDRA: Cough, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: FairFree text: Cold symptoms - nasal congestion, cough, sore throat, headache - tested negative for COVID and is just coldMedDRA releases: 2024-11 · check-in free text available
-
2022-09-14
Dose 4 — Moderna
- 2022-09-26
-
2022-09-28
Survey response — day 14, dose 4MedDRA: Cough, Headache, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Common cold that my son brought home from preschool. Congestion, cough, headache etc. Still testing negative for COVID.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-14 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): 33 weeks pregnant
Release 6 — day 21, dose 1
Symptoms: Sessional allergies with limited treatment options due to pregnancy. Symptoms triggered request from employer to get COVID test. Test came back negative.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): 37weeks 5 days pregnant and experiencing some mild and irregular contractions
Release 8 — day 28, dose 2
Symptoms: High blood pressure resulted in trip to the hospital and diagnosed with postpartum preeclampsia 13 days after delivery.
Release 11 — 6 months, dose 3
Symptoms: Cold symptoms - nasal congestion, cough, sore throat, headache - tested negative for COVID and is just cold
Release 12 — day 14, dose 4
Symptoms: Common cold that my son brought home from preschool. Congestion, cough, headache etc. Still testing negative for COVID.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-eclampsia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release