3C4-12503-98552
4 vaccinations
3 coded responses
47 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 195 / PA
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
929-24912-78650
Child or adolescent in my care · Female · 2022-11-05
Timeline
-
2021-04-12
Dose 1 — Moderna
-
2021-04-14
Registered in v-safe
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: Tingling in hand of arm that received shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-21
- 2021-04-26
- 2021-05-03
- 2021-05-10
-
2021-05-11
Dose 2 — Moderna
-
2021-05-11
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-25
-
2021-06-01
Survey response — day 21, dose 2MedDRA: Dysmenorrhoea, Heavy menstrual bleeding — Feeling: Good · Be unable to do your normal daily activitiesFree text: My period was a lot heavier and more painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Survey response — day 28, dose 2MedDRA: Menstruation irregular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Changes in my menstrual cycleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-06-24
- 2021-08-12
- 2021-11-09
-
2021-11-29
Dose 3 — Moderna
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-02-28
- 2022-05-30
-
2022-10-17
Dose 4 — ModernaCo-administered: Flu
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2023-01-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-10-17 | Moderna | Flu |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling in hand of arm that received shot
Release 8 — day 21, dose 2
Symptoms: My period was a lot heavier and more painful.
Release 8 — day 28, dose 2
Symptoms: Changes in my menstrual cycle
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 | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release