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BRM-96490-14528

4 vaccinations 2 coded responses 17 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
379 / TN
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
9RN-29662-18321 Child or adolescent in my care · Male · 2022-06-30

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-04-13
    Dose 2 — Moderna
  3. 2021-04-15
    Registered in v-safe
  4. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: My two year old son still nurses. About twelve hours after I got the 2nd dose, he seemed to not be feeling great. He developed a 102 fever and had stomach pain. 36 hours after the shot, he had diarrhea and still had a fever above 100. He stays home, does not go to daycare, so I do wonder if something came thru in the mille and made him sick.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  8. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-11
    Survey response — day 28, dose 2
    MedDRA: Oligomenorrhoea, Stress — Feeling: Good
    Free text: Delayed menstrual period by one week. Could be other factors: stress and change in diet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-18
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-11
    Dose 3 — Moderna
  17. 2022-04-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-09-21
    Dose 4 — Moderna
  19. 2022-10-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  20. 2022-10-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  21. 2022-11-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-12-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna
32021-11-11Moderna No
42022-09-21Moderna No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): My two year old son still nurses. About twelve hours after I got the 2nd dose, he seemed to not be feeling great. He developed a 102 fever and had stomach pain. 36 hours after the shot, he had diarrhea and still had a fever above 100. He stays home, does not go to daycare, so I do wonder if something came thru in the mille and made him sick.

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Delayed menstrual period by one week. Could be other factors: stress and change in diet.

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
SDOligomenorrhoea ✓ ✓ ✓
SDStress ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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