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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

  1. 2021-02-08
    Registered in v-safe
  2. 2021-02-08
    Dose 1 — Moderna
  3. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: 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 activities
    Adult check-in
  4. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Menstrual disorder — Feeling: Fair · Fatigue or tiredness, Abdominal pain
    Free 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
  5. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash on back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-08-09
    Survey response — 6 months, dose 1
    MedDRA: Pregnancy — Feeling: Fair
    Free text: Im pregnant!
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Made menstrual symptoms much worse than normal. Same with initial dose of vaccine.

2021-02-12

Systemic reaction (other): Rash on back

Release 9 — 6 months, dose 1

2021-08-09

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

FieldPreferred term2021-092023-042024-11
SDPregnancy ✓ · ✓
SROMenstrual disorder ✓ ✓ ✓
SRORash ✓ ✓ ✓

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