63V-24564-10575
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 404 / KY
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-24
Registered in v-safe
- 2021-03-24
-
2021-03-30
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: GoodFree text: Warmth and itching at injection site. And a raised red ring appeared around the injection site, and slowly went away over the course of about 72 hours. These symptoms occurred 15 days after first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
-
2021-04-09
Dose 2 — Moderna
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Dizziness, Fatigue, Pyrexia — Feeling: Good · Site: Redness, Swelling, ItchingFree text: The day after my 2nd shot I was quite ill with chills, fever (100.5), fatigue, and lightheadedness all mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-23
Survey response — day 14, dose 2MedDRA: Intermenstrual bleeding, Menstrual disorder — Feeling: GoodFree text: While it seemed my menstrual cycle was back on track, Im now experiencing pre-menstrual symptoms and spotting in the middle of my cycle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-15
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Free text
Release 6 — day 21, dose 1
Symptoms: Warmth and itching at injection site. And a raised red ring appeared around the injection site, and slowly went away over the course of about 72 hours. These symptoms occurred 15 days after first dose.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The day after my 2nd shot I was quite ill with chills, fever (100.5), fatigue, and lightheadedness all mild.
Release 7 — day 14, dose 2
Symptoms: While it seemed my menstrual cycle was back on track, Im now experiencing pre-menstrual symptoms and spotting in the middle of my cycle.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release