6ZS-17098-32594
4 vaccinations
2 coded responses
37 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 112 / NY
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-14
-
2021-04-22
Survey response — day 14, dose 1MedDRA: Menstruation irregular — Feeling: GoodFree text: Irregular periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
-
2021-05-04
Dose 2 — Moderna
- 2021-05-04
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-26
- 2021-06-01
- 2021-06-10
-
2021-06-15
Survey response — day 42, dose 2MedDRA: Back pain, Myalgia — Feeling: FairFree text: Muscle soreness and back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-06
- 2021-11-02
-
2021-11-09
Dose 3 — Moderna
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-12-08
- 2021-12-16
- 2022-02-08
- 2022-05-10
-
2022-10-07
Dose 4 — Moderna
- 2022-10-22
- 2022-10-30
- 2022-11-04
- 2022-11-11
- 2022-11-21
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-10-07 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: Irregular period
Release 9 — day 42, dose 2
Symptoms: Muscle soreness and back pain
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release