4JS-19414-32009
4 vaccinations
6 coded responses
42 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 920 / CA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
-
2021-06-02
Survey response — day 35, dose 2MedDRA: Amenorrhoea, Menopausal symptoms, Menopause, Ovulation disorder, Postmenopausal haemorrhage, Premenstrual syndrome — Feeling: GoodFree text: Symptoms of ovulation and PMS, although I am in menopause and have not had a menstrual cycle in 24 months. No Covid-related symptoms or side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2021-07-28
- 2021-10-27
-
2021-11-18
Dose 3 — Moderna
- 2022-04-28
-
2022-05-25
Dose 4 — Moderna
- 2022-05-25
-
2022-05-26
Survey response — days 1–6 daily, dose 4MedDRA: Pyrexia, Sleep disorder — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Low grade fever throughout the night that prevented sleepMedDRA releases: 2024-11 · check-in free text available
-
2022-05-27
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: General swelling of my armpit on the same side as injection. No hard lumps, just soft swelling.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-28
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: GoodFree text: Slight swelling in armpit on injection sideMedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling in the armpit on side of injection, improvingMedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-08-24
- 2022-11-23
- 2023-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-05-25 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Congestion
Release 8 — day 35, dose 2
Symptoms: Symptoms of ovulation and PMS, although I am in menopause and have not had a menstrual cycle in 24 months. No Covid-related symptoms or side effects.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Low grade fever throughout the night that prevented sleep
Systemic reaction (other): General swelling of my armpit on the same side as injection. No hard lumps, just soft swelling.
Systemic reaction (other): Slight swelling in armpit on injection side
Systemic reaction (other): Swelling in the armpit on side of injection, improving
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 | Amenorrhoea | ✓ | · | ✓ |
| SD | Menopausal symptoms | ○ | ✓ | ○ |
| SD | Menopause | ✓ | · | ✓ |
| SD | Ovulation disorder | ✓ | · | ✓ |
| SD | Postmenopausal haemorrhage | ○ | ✓ | ○ |
| SD | Premenstrual syndrome | ✓ | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release