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65K-28136-37519

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
959 / CA
Registered
2021-04-27
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-27
    Registered in v-safe
  2. 2021-04-27
    Dose 1 — Moderna
  3. 2021-04-27
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-05-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Brain fog — Feeling: Good · Fatigue or tiredness
    Free text: Fog brain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-05-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-27
    Dose 2 — Moderna
  14. 2021-06-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work
    Adult check-in
  15. 2021-06-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-06-10
    Survey response — day 14, dose 2
    MedDRA: Diarrhoea, Dysmenorrhoea, Heavy menstrual bleeding, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: My period has been 5x worse than usual. Heavy bleeding, extremely painful cramping, vommiting, watery diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-17
    Survey response — day 21, dose 2
    MedDRA: Dysmenorrhoea — Feeling: Good · Be unable to work or attend school
    Free text: Extremely painful periods.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-24
    Survey response — day 28, dose 2
    MedDRA: Dysmenorrhoea, Menstruation irregular — Feeling: Fair · Be unable to work or attend school
    Free text: Messed up periods..missing periods or super extremley painful periods.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-07-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-28
    Survey response — 3 months, dose 2
    MedDRA: Diabetes mellitus — Feeling: Good
    Free text: Before getting my vaccination I had tested for diabetes and I was fine. After my vaccination I now have diabetes. I don't know if that is related to the vaccination or not just thought I would but this information down just in case.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-11-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-27Moderna
22021-05-27Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-01

Systemic reaction (other): Fog brain

Release 9 — day 14, dose 2

2021-06-10

Symptoms: My period has been 5x worse than usual. Heavy bleeding, extremely painful cramping, vommiting, watery diarrhea.

Release 9 — day 21, dose 2

2021-06-17

Symptoms: Extremely painful periods.

Release 9 — day 28, dose 2

2021-06-24

Symptoms: Messed up periods..missing periods or super extremley painful periods.

Release 9 — 3 months, dose 2

2021-08-28

Symptoms: Before getting my vaccination I had tested for diabetes and I was fine. After my vaccination I now have diabetes. I don't know if that is related to the vaccination or not just thought I would but this information down just in case.

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
SDDiabetes mellitus ✓ · ✓
SDDiarrhoea ✓ ✓ ✓
SDDysmenorrhoea ✓ ✓ ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDMenstruation irregular ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROBrain fog ✓ ✓ ✓

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