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6BM-26741-25326

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
972 / OR
Registered
2021-02-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-16
    Registered in v-safe
  3. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-24
    Survey response — day 14, dose 1
    MedDRA: Pain in extremity, Pruritus, Rash erythematous, Vaccination site reaction — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Covid Arm. Day 7 i woke up to really bad arm pain. Day 8 a bright red rash appeared on my arm. Day 9,10,11,12 the rash slowly went away. Day 11 the itching on the arm started. It is almost gone now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-03
    Survey response — day 21, dose 1
    MedDRA: Anxiety, Menstrual disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: The shot caused my period to come 5 days sooner than normal. It seems to have also triggered anxiety, unclear is anxiety is related how time frame is concerning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-10
    Dose 2 — Moderna
  8. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work
    Adult check-in
  9. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vertigo — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache · Be unable to work
    Free text: slight vertigo. (temperature normal.) (oximeter normal.)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Headache · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Muscle or body aches · Be unable to work
    Adult check-in
  12. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-09-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-03-10
    Survey response — 12 months, dose 2
    MedDRA: Brain fog, Dizziness, Heavy menstrual bleeding, Hormone level abnormal, Menstruation delayed, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities
    Free text: My period was 2 weeks late and very heavy, then i had another full period a week later. Then my period the next month was 3 weeks late. Lots of hormonal issues. Dizziness and mental fog.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna

Free text

Release 4 — day 14, dose 1

2021-02-24

Symptoms: Covid Arm. Day 7 i woke up to really bad arm pain. Day 8 a bright red rash appeared on my arm. Day 9,10,11,12 the rash slowly went away. Day 11 the itching on the arm started. It is almost gone now.

Release 5 — day 21, dose 1

2021-03-03

Symptoms: The shot caused my period to come 5 days sooner than normal. It seems to have also triggered anxiety, unclear is anxiety is related how time frame is concerning.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): slight vertigo. (temperature normal.) (oximeter normal.)

Release 11 — 12 months, dose 2

2022-03-10

Symptoms: My period was 2 weeks late and very heavy, then i had another full period a week later. Then my period the next month was 3 weeks late. Lots of hormonal issues. Dizziness and mental fog.

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
SDAnxiety ✓ ✓ ✓
SDBrain fog · · ✓
SDDizziness · · ✓
SDHeavy menstrual bleeding · · ✓
SDHormone level abnormal · · ✓
SDMenstrual disorder ✓ ✓ ✓
SDMenstruation delayed · · ✓
SDMenstruation irregular · · ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDVaccination site reaction ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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