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9HE-13106-55559

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
565 / MN
Registered
2021-06-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-04
    Dose 1 — Moderna
  2. 2021-06-01
    Dose 2 — Moderna
  3. 2021-06-02
    Registered in v-safe
  4. 2021-06-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Symptoms started 6/2-12hrs post vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-06-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good · Site: Pain, Swelling
    Free text: Cold like SX
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Headache, Menstruation delayed, Nasopharyngitis — Feeling: Fair
    Free text: Cold like symptoms with headache and earache. My period is 6 days late and I am not pregnant.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-08
    Survey response — day 7, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-06-22
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-06-29
    Survey response — day 28, dose 2
    MedDRA: Eye pruritus, Headache, Rhinorrhoea, Superficial injury of eye — Feeling: Fair
    Free text: Headache, scratchy eyes, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-15
    Survey response — day 42, dose 2
    MedDRA: Menstruation delayed, Menstruation irregular — Feeling: Good
    Free text: Irregular periods. 2 cycles have been late since being fully vaccinated
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-06-01
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Pregnancy — Feeling: Good · Be unable to do your normal daily activities
    Free text: Covid Pregnancy
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-04Moderna
22021-06-01Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-06-03

Systemic reaction (other): Symptoms started 6/2-12hrs post vaccine

2021-06-05

Systemic reaction (other): Cold like SX

2021-06-07

Systemic reaction (other): Cold like symptoms with headache and earache. My period is 6 days late and I am not pregnant.

Release 8 — day 7, dose 2

2021-06-08

Systemic reaction (other): Headache

Release 9 — day 28, dose 2

2021-06-29

Symptoms: Headache, scratchy eyes, runny nose

Release 9 — day 42, dose 2

2021-07-15

Symptoms: Irregular periods. 2 cycles have been late since being fully vaccinated

Release 11 — 12 months, dose 2

2022-06-01

Symptoms: Covid Pregnancy

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
SDCOVID-19 · · ✓
SDEye pruritus ✓ · ✓
SDHeadache ✓ ✓ ✓
SDMenstruation delayed ✓ · ✓
SDMenstruation irregular ✓ · ✓
SDPregnancy · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSuperficial injury of eye ○ ✓ ○
SROAdverse reaction ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMenstruation delayed ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓

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