HA4-25060-21406
4 vaccinations
7 coded responses
30 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 834 / ID
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Muscle twitching — Feeling: FairFree text: Dizziness; muscle twitchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-03
-
2021-04-08
Dose 2 — Moderna
-
2021-04-08
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Toe pain, left foot big toeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-22
-
2021-04-30
Survey response — day 21, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Delayed menstruationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 28, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Delayed menstruationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Survey response — day 35, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Late periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-07-08
- 2021-10-09
-
2021-12-14
Dose 3 — Moderna
- 2022-04-08
-
2022-12-06
Dose 4 — Moderna
- 2022-12-15
- 2022-12-20
- 2022-12-27
- 2023-01-03
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-12-14 | Moderna | No |
| 4 | 2022-12-06 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness; muscle twitching
Release 7 — day 0, dose 2
Systemic reaction (other): Brain fog
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog
Systemic reaction (other): Toe pain, left foot big toe
Release 8 — day 21, dose 2
Symptoms: Delayed menstruation
Release 8 — day 28, dose 2
Symptoms: Delayed menstruation
Release 8 — day 35, dose 2
Symptoms: Late period
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 | Menstruation delayed | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release