675-20084-25146
4 vaccinations
4 coded responses
52 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 484 / MI
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
75B-16981-31778
Child or adolescent in my care · Male · 2022-06-30
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 21, dose 1MedDRA: Middle ear effusion — Feeling: FairFree text: Fluid in inner ears, no infection, likely related to something elseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
-
2021-05-13
Survey response — day 14, dose 2MedDRA: Menstruation irregular — Feeling: FairFree text: Missed period (1 week late), but negative home pregnancy test. I'm possibly pregnant, as we're trying, but I never miss or have a late period.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Survey response — day 21, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Period was 1 week late (it's never late)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-06-02
- 2021-06-11
- 2021-07-28
- 2021-10-31
-
2021-11-05
Dose 3 — Moderna
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-14
- 2021-11-19
-
2021-11-26
Survey response — day 21, dose 3MedDRA: Intermenstrual bleeding — Feeling: GoodFree text: Abnormal spotting before periodMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
-
2022-09-08
Dose 4 — Moderna
- 2022-09-08
-
2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-09-12
- 2022-09-13
- 2022-09-14
- 2022-09-17
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-21
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-09-08 | Moderna | No |
Free text
Release 7 — day 21, dose 1
Symptoms: Fluid in inner ears, no infection, likely related to something else
Release 8 — day 14, dose 2
Symptoms: Missed period (1 week late), but negative home pregnancy test. I'm possibly pregnant, as we're trying, but I never miss or have a late period.
Release 8 — day 21, dose 2
Symptoms: Period was 1 week late (it's never late)
Release 10 — day 21, dose 3
Symptoms: Abnormal spotting before period
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 | Intermenstrual bleeding | · | · | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Middle ear effusion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release