ZLZ-12739-71438
3 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 067 / CT
- Registered
- 2021-05-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
T9B-27144-72762
Child or adolescent in my care · Male · 2022-06-23
85F-67953-62470
Child or adolescent in my care · Female · 2022-06-23
Timeline
-
2021-04-06
Dose 1 — Moderna
-
2021-05-07
Dose 2 — Moderna
-
2021-05-08
Registered in v-safe
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Joint painsAdult check-in
-
2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
- 2021-05-29
- 2021-06-04
- 2021-06-11
- 2021-06-19
- 2021-08-06
- 2021-11-06
-
2021-11-11
Dose 3 — Moderna
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, NauseaFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, NauseaAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-11-18
-
2021-11-25
Survey response — day 14, dose 3MedDRA: Subchorionic haematoma — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Subchorionic hematomaMedDRA releases: 2024-11 · check-in free text available
-
2021-11-25
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-04
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-25 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pregnancy
Release 10 — day 14, dose 3
Symptoms: Subchorionic hematoma
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 | Subchorionic haematoma | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release