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3RN-29454-54059

4 vaccinations 8 coded responses 50 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
148 / NY
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-30
    Registered in v-safe
  2. 2021-03-30
    Dose 1 — Moderna
  3. 2021-03-30
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Free text: Spaciness / mental cloudiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain
    Free text: I think I underreported the severity of my symptoms on 3/31- they definitely kept me from doing things (like going for a long walk and cooking dinner)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-27
    Dose 2 — Moderna
  14. 2021-04-27
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lack of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia, Tenderness — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fever broke about 6:30 AM, still feeling tender (like I am recovering from the flu)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Contusion, Lymph node pain, Lymphadenitis — Feeling: Good
    Free text: My right arm has a node where inflammation often becomes caught and it is still a bit sore/bruised. It is the kidney/liver/spleen point on my forearm, if any of you practice TCM.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heavy menstrual bleeding — Feeling: Good
    Free text: Longer than usual menstruation (7 days as opposed to 4-5)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-02
    Dose 3 — Moderna
  30. 2021-12-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  31. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  32. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-09
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-16
    Survey response — day 14, dose 3
    MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual clots — Feeling: Good · Be unable to do your normal daily activities
    Free text: My period, which started Saturday 12/11, was incredibly heavy and painful - lots of clotting and flow exceeding 20 mL an hour (measured with a menstrual cup) for most of the day on Wednesday.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-03-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-06-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-09-13
    Dose 4 — Moderna
  45. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  46. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Abdominal pain
    Adult check-in
  47. 2022-09-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-09-20
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-09-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-10-04
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-10-13
    Survey response — day 28, dose 4
    MedDRA: Heavy menstrual bleeding — Feeling: Good
    Free text: Menstrual period was heavier and longer than usual by two days
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-10-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-10-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-12-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  55. 2023-03-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Moderna
22021-04-27Moderna
32021-12-02Moderna No
42022-09-13Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Spaciness / mental cloudiness

2021-04-02

Systemic reaction (other): I think I underreported the severity of my symptoms on 3/31- they definitely kept me from doing things (like going for a long walk and cooking dinner)

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Lack of appetite

2021-04-29

Systemic reaction (other): Fever broke about 6:30 AM, still feeling tender (like I am recovering from the flu)

2021-05-02

Systemic reaction (other): My right arm has a node where inflammation often becomes caught and it is still a bit sore/bruised. It is the kidney/liver/spleen point on my forearm, if any of you practice TCM.

2021-05-03

Systemic reaction (other): Longer than usual menstruation (7 days as opposed to 4-5)

Release 10 — day 14, dose 3

2021-12-16

Symptoms: My period, which started Saturday 12/11, was incredibly heavy and painful - lots of clotting and flow exceeding 20 mL an hour (measured with a menstrual cup) for most of the day on Wednesday.

Release 12 — day 28, dose 4

2022-10-13

Symptoms: Menstrual period was heavier and longer than usual by two days

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
SDDysmenorrhoea · · ✓
SDHeavy menstrual bleeding · · ✓
SDMenstrual clots · · ✓
SROAdverse reaction ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeavy menstrual bleeding ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenitis ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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

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