77E-47588-16485
4 vaccinations
6 coded responses
52 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 544 / WI
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
325-26704-07462
Child or adolescent in my care · Female · 2021-11-05
SJG-16450-32882
Child or adolescent in my care · Male · 2021-11-05
AB5-13165-56444
Child or adolescent in my care · Female · 2021-11-05
T7M-20538-06226
Child or adolescent in my care · Male · 2022-07-16
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Soreness in my armpit...sharp pain at timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
-
2021-04-07
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Pain in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-29
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Site: ItchingFree text: My armpit is sore today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
-
2021-10-25
Survey response — 6 months, dose 2MedDRA: Biochemical pregnancy, Oligomenorrhoea, Polymenorrhoea — Feeling: GoodFree text: my menstrual cycle was longer for two cycles following my 2nd vaccine. I also had one cycle that was 8 days shorter, 3 cycles after completion of shots. I had two chemical pregnancies the 4th & 5th cycles after shots. I'm TTC, but no viable pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Dose 3 — Moderna
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
- 2021-12-28
- 2021-12-29
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-02-03
- 2022-03-24
-
2022-05-31
Dose 4 — Pfizer-BioNTech
- 2022-06-01
- 2022-06-01
-
2022-06-02
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Mild Pain noted above is in the armpit, not injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
- 2022-06-04
- 2022-06-05
-
2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: Nervous system disorder, Neuralgia, Pregnancy — Feeling: Good · Be unable to do your normal daily activitiesFree text: I'm having ulnar nerve pain & sensitivity. Should be noted also that I am pregnant. Onset of ulnar nerve pain was 5 days after second COVID boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-08-30
- 2022-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-12-23 | Moderna | No |
| 4 | 2022-05-31 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness in my armpit...sharp pain at time
Release 7 — day 7, dose 1
Systemic reaction (other): Pain in armpit
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My armpit is sore today.
Release 10 — 6 months, dose 2
Symptoms: my menstrual cycle was longer for two cycles following my 2nd vaccine. I also had one cycle that was 8 days shorter, 3 cycles after completion of shots. I had two chemical pregnancies the 4th & 5th cycles after shots. I'm TTC, but no viable pregnancy cut off by CDC
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Mild Pain noted above is in the armpit, not injection site
Systemic reaction (other): I'm having ulnar nerve pain & sensitivity. Should be noted also that I am pregnant. Onset of ulnar nerve pain was 5 days after second COVID booster
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 | Biochemical pregnancy | · | · | ✓ |
| SD | Oligomenorrhoea | · | · | ✓ |
| SD | Polymenorrhoea | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Nervous system disorder | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release