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
-
2021-03-16
Dose 1 — Moderna
-
2021-04-13
Dose 2 — Moderna
-
2021-04-15
Registered in v-safe
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree 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
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-22
- 2021-04-27
- 2021-05-04
-
2021-05-11
Survey response — day 28, dose 2MedDRA: Oligomenorrhoea, Stress — Feeling: GoodFree 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
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
-
2021-11-11
Dose 3 — Moderna
- 2022-04-14
-
2022-09-21
Dose 4 — Moderna
- 2022-10-21
- 2022-10-26
- 2022-11-02
- 2022-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-09-21 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Oligomenorrhoea | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release