Z6V-33812-13169
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 434 / OH
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
-
2021-03-19
Health check-in — day 0, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Maternal exposure during breast feeding — Feeling: GoodFree text: I am breastfeeding and my son was more tired than usual yesterday! Could easily be coincidence, but wanted to share!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-05-21
Survey response — day 35, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: I dont know where else to put this! Im great! I am pregnant! Not a blood draw yet from dr- I have a visit in about 2 weeks for that!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
-
2021-05-29
Pregnancy registry surveyPregnant after vaccination · Yes, I would like someone to contact me
-
2021-07-16
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Pregnant!MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Adnexal torsion, Pregnancy, Salpingo-oophorectomy unilateral — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I'm pregnant! Also had ovarian torsion, so they removed my left tube and ovary.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-18
-
2022-04-18
Survey response — 12 months, dose 2MedDRA: Cholecystectomy, Confusional state, Delivery — 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 · Emergency room or emergency department visit, HospitalizationFree text: I'm confused if this is shot relayed. I've had a baby and my gallbladder out!MedDRA releases: 2024-11 · check-in free text available
-
2022-04-18
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-04-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-15 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-04-18 | Successful 2022-04-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I am breastfeeding and my son was more tired than usual yesterday! Could easily be coincidence, but wanted to share!
Release 8 — day 35, dose 2
Symptoms: I dont know where else to put this! Im great! I am pregnant! Not a blood draw yet from dr- I have a visit in about 2 weeks for that!
Release 9 — 3 months, dose 2
Symptoms: Pregnant!
Release 10 — 6 months, dose 2
Symptoms: I'm pregnant! Also had ovarian torsion, so they removed my left tube and ovary.
Release 11 — 12 months, dose 2
Symptoms: I'm confused if this is shot relayed. I've had a baby and my gallbladder out!
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 | Adnexal torsion | · | · | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SD | Confusional state | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Salpingo-oophorectomy unilateral | · | · | ✓ |
| SRO | Maternal exposure during breast feeding | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release