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5ND-27831-67805

4 vaccinations 4 coded responses 25 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
282 / NC
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
XCG-19080-30937 Child or adolescent in my care · Female · 2022-04-30
D5A-43716-13894 Child or adolescent in my care · Male · 2022-07-02

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Dose 2 — Moderna
  4. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  6. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  7. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-11
    Survey response — day 7, dose 2
    MedDRA: Muscle spasms — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Cramps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-17
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Good · Be unable to work
    Free text: Diarrhia, stomach cramps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-02
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Menstrual disorder — Feeling: Good
    Free text: My cycle is still changed. I get cramps 4-5 days ahead of my actual menstruation, and this is very unusual. I also have more cramping around ovulation, and my bleeding pattern has changed somewhat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-10-01
    Survey response — 6 months, dose 2
    MedDRA: Alopecia, Intermenstrual bleeding, Menstrual disorder — Feeling: Good
    Free text: Rapid hair loss began in July and stopped at the end of August, but I have also lost a lot of weight due to diet change. Period still different with spotting and cramping beginning much earlier before actual menstrual flow.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-11
    Dose 3 — Moderna
  18. 2022-04-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-05-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-10-11
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  21. 2022-10-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-10-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  23. 2022-10-18
    Health check-in — day 7, dose 4
    Feeling: Good · Abdominal pain
    Adult check-in
  24. 2022-10-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-11-01
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-11-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-11-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-11-23
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2023-01-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  30. 2023-04-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-02Moderna
32021-11-11Moderna No
42022-10-11Pfizer-BioNTech Flu

Free text

Release 7 — day 7, dose 2

2021-04-11

Systemic reaction (other): Cramps

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Diarrhia, stomach cramps

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: My cycle is still changed. I get cramps 4-5 days ahead of my actual menstruation, and this is very unusual. I also have more cramping around ovulation, and my bleeding pattern has changed somewhat.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Rapid hair loss began in July and stopped at the end of August, but I have also lost a lot of weight due to diet change. Period still different with spotting and cramping beginning much earlier before actual menstrual flow.

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
SDAbdominal pain upper ✓ ✓ ✓
SDAlopecia · · ✓
SDDiarrhoea ✓ ✓ ✓
SDIntermenstrual bleeding · · ✓
SDMenstrual disorder ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓

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