4RH-30912-77033
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 531 / WI
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-22
Registered in v-safe
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2021-03-22
Dose 1 — Moderna
- 2021-03-22
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Chills, Fatigue or tirednessAdult check-in
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2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-30
Health check-in — day 7, dose 1Feeling: Good · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-12
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2021-04-19
Dose 2 — Moderna
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2021-04-19
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Vivid dreams, brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-27
Health check-in — day 7, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-03
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Joint pain has gotten worse. Considering going to the doctor for it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — day 28, dose 2MedDRA: Arthralgia, Heavy menstrual bleeding — Feeling: FairFree text: Very early, heavy menstrual period. Unrelated to any other condition or medication, never happened before. Continued joint pain since second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — day 35, dose 2MedDRA: Heavy menstrual bleeding — Feeling: FairFree text: Extremely heavy menstrual period, heavier than ever before. No chance of pregnancy and no changes to contraceptive use, started after second dose. No other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-07-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Vivid dreams, brain fog
Systemic reaction (other): Dizziness
Release 8 — day 14, dose 2
Symptoms: Joint pain has gotten worse. Considering going to the doctor for it.
Release 8 — day 28, dose 2
Symptoms: Very early, heavy menstrual period. Unrelated to any other condition or medication, never happened before. Continued joint pain since second shot.
Release 8 — day 35, dose 2
Symptoms: Extremely heavy menstrual period, heavier than ever before. No chance of pregnancy and no changes to contraceptive use, started after second dose. No other symptoms.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release