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663-22977-80317

1 vaccination 5 coded responses 14 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
856 / AZ
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Registered in v-safe
  2. 2021-03-19
    Dose 1 — Moderna
  3. 2021-03-19
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Self-medication — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Last night my body was very itchy, I had to take a Benadryl for relief.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  7. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Free text: Swollen neck glands (I've had this since Friday, I keep forgetting to mention it.)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-03-26
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-09
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-04-16
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-23
    Survey response — day 35, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I forgot to add in last week's followup that I started my period 7 days early which is not a normal occurance for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-30
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-06-18
    Survey response — 3 months, dose 1
    MedDRA: Menstruation irregular — Feeling: Fair · Be unable to work or attend school
    Free text: After my second dose, I started my period 10 days early. (After my first dose, I started my period about a week early.)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-09-20
    Survey response — 6 months, dose 1
    MedDRA: Menstrual disorder — Feeling: Fair · Be unable to work or attend school
    Free text: I still have ongoing period issues that began after the 1st dose (mentioned in previous submissions).
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Last night my body was very itchy, I had to take a Benadryl for relief.

2021-03-24

Systemic reaction (other): Swollen neck glands (I've had this since Friday, I keep forgetting to mention it.)

Release 7 — day 35, dose 1

2021-04-23

Symptoms: I forgot to add in last week's followup that I started my period 7 days early which is not a normal occurance for me.

Release 9 — 3 months, dose 1

2021-06-18

Symptoms: After my second dose, I started my period 10 days early. (After my first dose, I started my period about a week early.)

Release 9 — 6 months, dose 1

2021-09-20

Symptoms: I still have ongoing period issues that began after the 1st dose (mentioned in previous submissions).

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
SDMenstrual disorder · · ✓
SDMenstruation irregular ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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