YGX-27623-28422
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 836 / ID
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-10
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Survey response — day 14, dose 1MedDRA: Caesarean section, Injection site erythema, Injection site swelling, Premature labour, SARS-CoV-2 test negative, Spontaneous rupture of membranes — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: My water broke and I went into labor 2 weeks early. I had to have an emergency c-section. A few hours after surgery I had a red raised bump at the site of where I recieved my Covid vaccine. All of this occured 6 days after my first vaccine. · Healthcare visit (other): The same day my water broke, I had a negative covid test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-31
-
2021-02-07
Dose 2 — Moderna
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever that is controlled by tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Good · Abdominal painFree text: Abdominal pain lasted for 10 minutes then disappeared.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-18
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-04-09
- 2021-05-09
- 2021-08-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-24 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: My water broke and I went into labor 2 weeks early. I had to have an emergency c-section. A few hours after surgery I had a red raised bump at the site of where I recieved my Covid vaccine. All of this occured 6 days after my first vaccine.
Healthcare visit (other): The same day my water broke, I had a negative covid test.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Fever that is controlled by tylenol.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Abdominal pain lasted for 10 minutes then disappeared.
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 | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| HCVO | Spontaneous rupture of membranes | ✓ | ✓ | ✓ |
| SD | Caesarean section | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Premature labour | ✓ | ✓ | ✓ |
| SD | Spontaneous rupture of membranes | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release