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33M-17102-90642

4 vaccinations 8 coded responses 53 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
837 / ID
Registered
2021-05-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-12
    Dose 1 — Moderna
  2. 2021-05-13
    Registered in v-safe
  3. 2021-05-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety, Contusion, Urticaria — Feeling: Fair · Site: Pain
    Free text: Anxiety (probably self caused), I also have a bruise and a small welt (? I'm curious if this is normal?))
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Good · Diarrhea
    Free text: In response to the diarrhea it was probably because I drank a lot of water in the last 24 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-06-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-09
    Dose 2 — Moderna
  13. 2021-06-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Chills, Muscle or body aches
    Adult check-in
  14. 2021-06-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches
    Adult check-in
  15. 2021-06-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness
    Free text: My period began today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Itching
    Free text: Due to my period I have had period cramps though those were about the same as usual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-06-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-06-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-06-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-20
    Dose 3 — Moderna
  29. 2022-05-20
    Survey response — day 0, dose 3
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: I am on my period so future answers may be similar to those symptoms as well.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-05-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Heavy menstrual bleeding — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: My period is a little heavier than it typically is on the second full day. Though due to stress levels, this could also impact period flow. I would rate my period between a medium to heavy flow.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-05-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2022-05-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2022-05-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2022-05-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-05-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-05-27
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-06-03
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-06-10
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-06-17
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-06-24
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-07-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-08-19
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-11-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2023-02-17
    Dose 4 — Moderna
  45. 2023-02-17
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  46. 2023-02-18
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site bruising, Injection site pain — Feeling: Good · Site: Pain
    MedDRA releases: 2024-11
  47. 2023-02-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Contusion, Tenderness — Feeling: Good
    MedDRA releases: 2024-11
  48. 2023-02-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  49. 2023-02-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2023-02-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2023-02-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2023-02-24
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2023-03-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-03-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2023-03-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-03-24
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2023-03-31
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2023-05-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-12Moderna
22021-06-09Moderna
32022-05-20Moderna No
42023-02-17Moderna No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-13

Systemic reaction (other): Anxiety (probably self caused), I also have a bruise and a small welt (? I'm curious if this is normal?))

2021-05-14

Systemic reaction (other): In response to the diarrhea it was probably because I drank a lot of water in the last 24 hours

Release 9 — days 1–6 daily, dose 2

2021-06-11

Systemic reaction (other): My period began today

2021-06-12

Systemic reaction (other): Due to my period I have had period cramps though those were about the same as usual.

Release 11 — day 0, dose 3

2022-05-20

Systemic reaction (other): I am on my period so future answers may be similar to those symptoms as well.

Release 11 — days 1–6 daily, dose 3

2022-05-21

Systemic reaction (other): My period is a little heavier than it typically is on the second full day. Though due to stress levels, this could also impact period flow. I would rate my period between a medium to heavy flow.

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

FieldPreferred term2021-092023-042024-11
SROAnxiety ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROHeavy menstrual bleeding · · ✓
SROInjection site bruising · · ✓
SROInjection site pain · · ✓
SROTenderness · · ✓
SROUnevaluable event ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release