4TM-33748-60796
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 172 / PA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I felt dizzy 1.5 mi into a trail run. I went more slowly than usual, and eventually i felt better. Still concerning though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
-
2021-03-14
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: FairFree text: A bit of dizziness after running up a hilly trail and standing up quickly...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-10
- 2021-04-16
-
2021-04-23
Survey response — day 21, dose 2MedDRA: Breast tenderness, Menstrual disorder, Pruritus — Feeling: GoodFree text: I stopped menstruating last October. After the vaccine, my period started again. Not sure if it will continue, but I have noticed breast tenderness and breast itchiness. Both have been consistent. Data should be gathered on the estrogenic effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-08
- 2021-05-16
- 2021-07-02
- 2021-10-01
- 2022-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I felt dizzy 1.5 mi into a trail run. I went more slowly than usual, and eventually i felt better. Still concerning though.
Release 5 — day 7, dose 1
Systemic reaction (other): A bit of dizziness after running up a hilly trail and standing up quickly...
Release 7 — day 21, dose 2
Symptoms: I stopped menstruating last October. After the vaccine, my period started again. Not sure if it will continue, but I have noticed breast tenderness and breast itchiness. Both have been consistent. Data should be gathered on the estrogenic effects. cut off by CDC
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 | Breast tenderness | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release