EAX-96566-87918
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 554 / MN
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Menstrual disorder — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: Made menstrual symptoms much worse than normal. Same with initial dose of vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-15
- 2021-02-22
- 2021-03-03
-
2021-08-09
Survey response — 6 months, dose 1MedDRA: Pregnancy — Feeling: FairFree text: Im pregnant!MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Made menstrual symptoms much worse than normal. Same with initial dose of vaccine.
Systemic reaction (other): Rash on back
Release 9 — 6 months, dose 1
Symptoms: Im pregnant!
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 | Pregnancy | ✓ | · | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release