6PU-84236-87056
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 939 / CA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-10
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Sensitive skin, Visual impairment — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Sensitive skin, dizziness, eyes hard to focusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-22
-
2021-08-16
Survey response — 6 months, dose 2MedDRA: Intermenstrual bleeding, Menstruation irregular, Unexpected vaginal bleeding on hormonal IUD — Feeling: GoodFree text: My periods have become unpredictable. I have an IUD and my periods were very light or none. After the shot, I got 2 periods in one month. And since then, Ive had periods every month. This month, I started spotting for a week and then my period staMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-03
Dose 3 — Moderna
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2021-12-15
Survey response — day 42, dose 3MedDRA: Influenza, Menstruation irregular — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I currently have the flu even though in received the flu shot 2 months ago. Also, I have experienced changes in my menstrual cycle.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sensitive skin, dizziness, eyes hard to focus
Release 9 — 6 months, dose 2
Symptoms: My periods have become unpredictable. I have an IUD and my periods were very light or none. After the shot, I got 2 periods in one month. And since then, Ive had periods every month. This month, I started spotting for a week and then my period sta
Release 10 — day 42, dose 3
Symptoms: I currently have the flu even though in received the flu shot 2 months ago. Also, I have experienced changes in my menstrual 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 | Influenza | · | · | ✓ |
| SD | Intermenstrual bleeding | ✓ | · | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Unexpected vaginal bleeding on hormonal IUD | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release